Forms & Permits

Photo © Sam Stukel

The Outdoor Campus Teacher Registration

Registration Information

Contact Person - First Name * Required

Contact Person - Last Name * Required

Teacher Name * Required

School * Required

Address

City

State

Zip

Phone - Work

Phone - Home

Number of Students (Min 10, Max 30)

Grade

Age

Number of classes

Any special needs including mobility, life-threatening, allergies, disabilities:

Photo restrictions:

Program or theme requested:

Outdoor Campus West Outdoor Campus East

Preferred Dates and Times - 1st Choice

Date

Arrival Time

Departure Time

Preferred Dates and Times - 2nd Choice

Date

Arrival Time

Departure Time

Preferred Dates and Times - 3rd Choice

Date

Arrival Time

Departure Time

Preferred Dates and Times - 4th Choice

Date

Arrival Time

Departure Time