Form Center

2. 
3. 
5. Contact Person Full Name: *
   Please put full name using to create an account here.
6. Email
7. Phone Number
9. Create An Account
   Create an Online Account Here

   Please click on the registration link above to create an online account with your personal information. This creates a personal account for you with JCPRD and will be linked to the School account I create with the information you provided in this form. By creating a personal account I can link you as an online administrator for the School to view their account online. Do not create an account for yourself and the school.
11. School Name*
    Please put N/A if it doesn't apply
12. School Address*
14. School City*
15. School Zip Code*
16. School State*
17. School Phone Number*
19. School District*

    1. Blue Valley School District
    2. De Soto School District
    3. Olathe School District
    4. Shawnee Mission School District
    5. Other
20. What grade are your students? *
21. How many students do you have? *
    Groups over 100 people will need to book on a Tuesday, Wednesday or Thursday.
23. Blue Valley Dates to Consider 2022

    1. No School - September 6th
    2. No School - September 29th
    3. No School - September 30th
    4. No School - October 14th
    5. No School - October 31st
    6. No School - November 23rd
25. DeSoto Dates to Consider

    1. Delayed start - September 12th
    2. 1/2 day school - September 28th
    3. No School - September 29th
    4. No School - September 30th
    5. No School - October 21st
    6. No School - October 24th
    7. Delayed Start - November 9th
27. Olathe Dates to Consider

    1. No Fall 2022 Calendar Available
    2. Historical No school date - September 2nd
    3. Historical No school date - September 23rd
    4. Historical No school date - October 7th
    5. Historical 1/2 school date - October 12th
    6. Historical No school date - October 13th & 14th
    7. Historical No school date - November 21st - 23rd
29. Shawnee Mission Dates to Consider

    1. No School - September 2nd
    2. No School - October 14th
    3. No School - October 21st
    4. No School - November 21st, 22nd, 23rd
31. Date #1
    Date #1
    This date is your first choice for a field trip.
32. Date #2
    Date #2
    This date is your second choice for a field trip.
33. Date #3
    Date #3
    This date is your third choice for a field trip.
36. Date #4
    Date #4 Start Date

    —

    Date #4 End Date
    If you are wanting two dates you can input two here or use the notes section.
37. Day of the Week

    If you don't need a specific date, but prefer a certain day of the week, tell us what day's work in your schedule.

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
39. Type of Field Trip Requesting*

    1. Low Challenge Course (9am-2pm)
    2. Low and High Challenge Course (9am-3pm)
    3. Activity Day with 4 rotations (up to 60 students)
    4. Activity Day with 5 rotations (up to 75 students)
    5. 2 day program - Low Challenge Course/Activity Day
    6. Need additional options
40. How did you hear about our field trips? *

    1. TimberRidge Website
    2. Johnson County Park and Recreation Website
    3. Another Teacher
    4. Friend or Family Referral
    5. Facebook - TImberRidge Page
42. Additional Information to share
    Add any notes or additional information we may need to schedule your group. If you want a second field trip scheduled, note here with two date choices.
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field