TRAILHEAD FIELD TRIPS REQUEST FORM
If you have any questions, please email Loppet's Adventure Director, DeAnna Perkins: perkins@loppet.org
           
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Email *
Name of the organization?  *
Desired field trip date? ** Request/event must be made & finalized no later than one week before the event date** ** at least 72HR notice for cancelation - *
MM
/
DD
/
YYYY
Desired time frame: (price varies depending on time)
*
9 am - 11 am
10 am - 12 pm
2 Hours
Desired time frame: (price varies depending on time)
*
9 am - 1 pm
10 am - 2 pm
4 Hours
Number of students?
*
Number of school chaperones? *Minimum 1 chaperone per 10 students. Chaperones are expected to remain with the group at all times, including participating in activities if desired.*
*
Shoe sizes of students and school chaperones? (for skiing only)
Percent of total school population on Free/Reduced Lunch? This percent will be applied to calculate cost per student for the field trip group. 2 HOUR TRIP: $25 per non-Free/Reduced Lunch student, $15 per Free/Reduced Lunch student. 4 HOUR TRIP: $33 per non-Free/Reduced Lunch student, $20 per Free/Reduced Lunch student.
*
Desired activities? (select up to two,)
*
Required
What is the group's purpose? (ex: team building, an experience, reward, etc.)
*
 Organization's billing address? *
Billing Contacts Name/Email ( if different than main point of contact) *
The General waiver is required for all field trips. (If you are tubing you will need to have both waivers signed)
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