Point Bonita YMCA Residential OE Pre-Trip Questionnaire

Contact Information

Thank you for choosing Point Bonita YMCA for your outdoor education experience! We are preparing for your visit and look forward to seeing you. The information you provide helps us set you and your students up for success during your stay.

A few important notes before you begin:

Please complete and return this survey ONE MONTH prior to your visit.
Please note that questions with a * require an answer.
For more information on the content and context of the Pre-trip Questionnaire, refer to the Teacher Manual on our Teacher Resources Page.

Question Title

* 1. School Information

School Name:

County:

District:

Question Title

* 2. Trip Organizer Information

Name:

Phone:

Email:

Question Title

* 3. Will this person be attending the trip?

Yes

Question Title

* 4. Enter the first and last names of all teachers/school staff attending the trip. Place an asterisk () next to the name of anyone new to Point Bonita YMCA.

If a person listed is an aide for a specific student, school nurse, or other specialized staff member, please include that information in parenthesis after their name.*

Teacher 1

Teacher 2

Teacher 3

Teacher 4

Teacher 5

Teacher 6

Teacher 7

Teacher 8

Question Title

* 5. Please enter the name and cell phone number of the teacher on site at Point Bonita that will take the lead in emergency communication:

Teacher Name:

Cell Phone #: