Discovery Trip Inquiry

Field Trip Inquiry

Camp Allen Discovery Program
This application is for a:

SchoolOrganization
School / Organization Name
School / Organization Mailing Address (for contracts and billing)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County
School / Organization Website
School / Organization Phone
Format: (000) 000-0000.

Planning Contact

First NameLast Name
Planning Contact Title
Planning Contact Phone
Format: (000) 000-0000.
Planning Contact Email
example@example.com
Is the Contract/ Billing Contact the same as the Planning Contact?

YesNo
Billing Contact

First NameLast Name
Billing Contact Title
Billing Contact Email
example@example.com
Billing Contact Phone
Format: (000) 000-0000.

School Type
Is this a Title I school?

YesNo
Will this be your school or organization's first field trip at Camp Allen?

YesNo
Have you received financial assistance to attend the Discovery Program?

YesNo
Please detail previous support.
School Ages
Total Anticipated Number of Teachers or Staff:
Total Anticipated Number of Participants:
List the anticipated number of Discovery participants in each grade level.
Camp Allen Arrival Date (if known)

MonthDayYear
Date
If your trip is not yet scheduled, what timeframe would you like your trip?