Trip Report
BAWT Trip Report - to be completed after every trip with youth
First Name *
If you prefer not to give your name, write decline to state
Your answer
Last Name *
Your answer
Title
Your answer
Address Line 1 *
Your answer
Address Line 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email address *
Your answer
Phone number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Race *
Required
Gender *
Your answer
Organization *
Your answer
City organization is based out of *
Your answer
County organization is based out of *
Organization Type *
School Name (if applicable) write N/A if trip was not associated with a school. *
Your answer
Organization School District *
Your answer
Approximately what percentage of youth at your school or organization qualify for free or reduced lunch programs? *
Will this be your first trip using BAWT equipment? *
Did your trip involve an overnight component? *
If yes, how many nights?
Your answer
Trip Components: Check all that apply *
Required
Where did you get your gear? *
Required
Date of Trip (first day) *
MM
/
DD
/
YYYY
Date of Trip (last day) *
MM
/
DD
/
YYYY
Trip Location *
Your answer
Grade level of >50% of youth on the trip *
Number of BAWT trained leaders *
Your answer
Names of additional BAWT trained leaders on trip *
Your answer
Number of adults on trip *
Your answer
Number of BAWT trained leaders who identify as Native American/Indigenous *
Your answer
Number of BAWT trained leaders who identify as Black/African American *
Your answer
Number of BAWT trained leaders who identify as Asian *
Your answer
Number of BAWT trained leaders who identify as Pacific Islander *
Your answer
Number of BAWT trained leaders who identify as White *
Your answer
Number of BAWT trained leaders who identify as Latinx/Chicanx *
Your answer
Number of BAWT trained leaders who identify as multiracial/other *
Your answer
Number of BAWT trained leaders who identify as male *
Your answer
Number of BAWT trained leaders who identify as female *
Your answer
Number of BAWT trained leaders who identify as genderqueer/gender non-conforming/genderfluid/Two-Spirit/other
Your answer
Number of BAWT trained leaders who identify as cisgender
Your answer
Number of BAWT trained leaders who identify as transgender
Your answer
Total number of youth *
Your answer
Number of youth who identify as Native American/Indigenous *
Your answer
Number of youth who identify as Black/African American *
Your answer
Number of youth who identify as Asian *
Your answer
Number of youth who identify as White *
Your answer
Number of youth who identify as Pacific Islander *
Your answer
Number of youth who identify as Latinx/Chicanx *
Your answer
Number of youth who identify as multiracial/other *
Your answer
Number of youth who identify none of the above or unknown *
Your answer
Number of youth who identify as female *
Your answer
Number of youth who identify as male *
Your answer
Number of youth who identify as genderqueer/gender non-conforming/genderfluid/Two-Spirit/other *
Your answer
Number of youth who identify as cisgender
Your answer
Number of youth who identify as transgender
Your answer
Total group number (youth and adults) *
Your answer
For this trip did you receive any funds from the following sources? *
Required
Anything else you want to share about your trip?
Your answer
How has your training with BAWT improved your outdoor trips or your personal outdoor leadership skills?
Your answer
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