2020/2021 TimberRidge Adventure Center Field Trip Request Form

2. 

3. 

5. School Name*

   Please put N/A if it doesn't apply

7. First Name*

8. Last Name*

10. Address*

12. City*

13. Zip Code*

14. State*

16. Phone Number*

17. Email Address*

19. School District*

    1. Blue Valley School District
    2. DeSoto 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

    1. No School - September 7th
    2. No School - September 30th
    3. No School - October 1st
    4. No School - October 15th
    5. No School - November 1st
25. DeSoto Dates to Consider

    1. No 2021/2022 Calendar Availalble

27. Olathe Dates to Consider

    1. Remote Learning Day - Sept 3rd.
    2. Professional Day - Sept 24th
    3. Professional Day - Oct 8th
    4. Remote Learning Day - Oct 13th
    5. Conference Day - Oct 14th
    6. No School - Oct 15th

29. Shawnee Mission Dates to Consider

    1. No 2021/2022 School Calendar Available

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 Submit and Print

* indicates a required field