Pre Trip Survey
Camp Allen Discovery Program
School / Organization Name
*
Type of Trip
*
Day Trip
Overnight Trip
Do you want to order t-shirts for your day-trip students? ($10 per shirt, added to your final bill)
Yes
No
Camp Allen Trip Dates
*
Number of Students
*
Number of Teachers/ School Staff
*
Number of Parent/ Guardian Chaperones
*
Estimated Arrival Time at Camp Allen
*
Estimated Depature Time from Camp Allen
*
Estimated Arrival Time at Camp Allen
*
Estimated Departure Time
*
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Onsite Contact (Lead Teacher/ Faculty attending the trip)
*
First Name
Last Name
Onsite Contact Title
*
Onsite Contact Email
*
example@example.com
Onsite Contact Cell Phone
*
Format: (000) 000-0000.
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Is this a Title I school?
*
Yes
No
Participant Demographics (designate by percent):
Participant Genders (designate by percent)
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What mode of transportation will your participants utilize? (Please ensure there is a minimum of one vehicle staying onsite for the duration of your trip in case of emergency.)
*
Buses
Cars
If traveling by buses, how many?
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T-Shirt Sizing
T-shirts are included for all overnight trips. The price for shirts for day groups is $10/ each and will be added to the final bill.
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Please list any specific food allergies in your group.
Please list any medical needs or special accommodations required. Include relevant learning disabilities or ESL students.
Main Goal / Desired Outcome of the trip:
*
Submit
Should be Empty: