Pre-Trip Survey
Camp Allen Discovery Program
School / Organization Name
*
Number of Students attending
*
Number of Teachers/Staff attending
*
Number of Parent/ Guardian Chaperones
*
Type of Trip
*
Day Trip
Overnight Trip
Would you like to purchase shirts for your students? They are $10/each and will be added to your final bill.
Yes
No
Trip Arrival Date
*
-
Month
-
Day
Year
Date
Trip Departure Date
-
Month
-
Day
Year
Date
Estimated Arrival Time at Camp Allen
*
Hour Minutes
AM
PM
AM/PM Option
Estimated Departure Time from Camp Allen
*
Hour Minutes
AM
PM
AM/PM Option
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
*
Please enter a valid phone number.
Is this a Title I School?
*
Yes
No
Participant Demographics (designate by percent)
Participant Demographics (designate by percent)
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 buses, how many?
T- Shirt Sizes
Shirts are included for students for all overnight trips. The cost for day trip participants or adults is $10/shirt.
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
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: