This form is for requesting a field trip.

We will follow-up with you within a day or so to confirm details and will work with you on transporation needed.

Please work with the field trip location contact to get the details needed to fill out the form, but do not confirm anything with them.  I would check several dates if possible so that we can ensure availability of a driver for transportation needed.

Include name of destination and address
must be less than 50 miles one way
include several proposed dates if possible
Include name of contact at location, phone number and email
Include, Teachers, Students, TAs and parents
Must be under $15 per attendee
pre-paid via credit card is preferred, if check, must be finalized Friday prior to trip
do not plan to leave before 8am
must be back at Headwaters no later than 2pm
MM slash DD slash YYYY