Outdoor Ed Program Details (updated 1/2024)

Outdoor Education Program Details

These details should align with what was discussed with the Outdoor Education team and will serve as a confirmation of numbers and details for your contract.
School Information
School name*
School city*
School phone number*

Area CodePhone Number
Teacher Information
Lead teacher name*

First NameLast Name
Lead teacher email*
example@example.com
Lead teacher cell phone number*

Area CodePhone Number
Has your school been on a KSS Outdoor Education field trip before?

YesNo
How did you hear about KSS?*
Will the lead teacher be traveling with the group?*

YesNo
Name of teacher traveling with group*
Phone number of teacher traveling with group*

Area CodePhone Number
Which social media site?*
Arrivals and Departures
Arrival date*

MonthDayYear
Date
Departure date *

MonthDayYear
Date
Arrival time is 12pm NOON. Early arrivals and late departures may result in additional charges. If you would like to arrange for an early arrival or late departure, please contact us directly at support@keystonescienceschool.org or (970)468-2098.
Please select program type:*
Which camping location are you interested in?:*
11/1-2/28 Camping Location*
3/1-3/31 Camping Location*
4/1-5/18 Camping Location*
5/19-5/25 Camping Location*
5/26 - 9/12 Camping Location*
9/13-9/20 Camping Location*
9/21-9/30 Camping Location*
10/1-10/31 Camping Location*
Group Details
Grade(s) of group*

Group size*

Rows	Number of male identifying	Number of female identifying	Number of Gender Non-Conforming	Total
Students
Chaperones

Total Students
Total Chaperones
# of Field Groups*
REQUIRED # of Chaperones*
Important Chaperones Notes:
- If your total chaperone numbers do not equal the required number of chaperones please adjust accordingly.
- Additional chaperones will be added to your invoice accordingly and will be required to provide their own transportation for the duration of the program.
Program Number Changes:
- Changes can be made to group size not less than 90 days prior to the arrival date by filling out this form.
Please note: your total group number exceeds our recommended capacity for this location. If you have not already done so, please call us at (970)468-2098 to discuss accommodations.
Would you like materials provided in Spanish?*

YesNo
How many students will require a Spanish bilingual instructor (if available)?*
Additional Details
Do you want to promote field-group team camaraderie? We invite you to order one Buff per student to use as a group identifier. Each field group would be united under a single color buff provided on the first day of the program.

The cost is $7.00 per student and will be added to your invoice.
Would you like Buffs for your program?*

YesNo
Keystone Science School is authorized to use photo's from your schools program for the purposes of marketing and to promote Outdoor Education and other KSS programs.*

YesNo
Should be Empty:

Outdoor Education Program Details