Application for Mr. Zierk's Amazing Maine Adventure
July 15-22
Applications due March 15
Student Name *
Student Email *
Grade *
Gender *
Parent Email *
Parent Phone *
Please tell us why you would like to participate in this adventure. (approx. 100 words) *
List any outdoor experience you have hiking, camping, backpacking, kayaking, canoeing, or other. *
What do you imagine will be the most challenging thing about this trip for you? *
What social skills will you bring that will make you a good group member? *
Never submit passwords through Google Forms.
This form was created inside of Arlington MA Public Schools. - Terms of Service - Additional Terms