Outdoor School Faculty/Staff Information Form
Name of School
Name of Primary Contact Person
Title of Primary Contact Person
Email of Primary Contact Person
Phone Number of Primary Contact Person
Total Number of Students
2021 Fall Sessions
Fall Session One: Week of September 20th - 23rd, 2021
Fall Session Two: Week of September 27th - 30th
Fall Session Three: Week of October 4th-8th: SPECIAL COOS COUNTY DAY ONLY
Fall Session Four: Week of October 11th-15th: SPECIAL COOS COUNTY DAY ONLY
Fall Session Four: Week of October 18th - 21st
Fall Session Five: Week of October 25th - 28th
2022 Spring Sessions
Spring Session One: Week of April 18th- April 22nd
Spring Session Two: Week of April 25th - April 29th
Spring Session Three: Week of May 3rd - May 6th
Spring Session Four: Week of May 9th - May 13th
Spring Session Five: Week of May 16th - May 20th
Spring Session Seven: Week of May 30th - June 3rd
Type of Session
Number of Days
Total Number of Faculty or Staff
Total Number of Parent Volunteer Chaperones
Grades of Students Attending (check all that apply)
Please give us an overview of your school and the students who will be attending.
Are there specific NGS standards or areas of learning that will best serve your students at the time of Outdoor School in their school lessons? (e.g. types of rock, watershed hydrology, water cycle, decomposition, trophic cascades, etc.)
Are there special socio-emotional needs that you would like addressed as part of the program with activities such as low ropes challenge course and other team building activities?
Are there any students with physical, mental, or emotional challenges that we should be aware of?
Will you be sending any specialized staff such as inclusion or behavioral specialists?
Please share your hopes and desired outcomes from Outdoor School participation at Camp Wilani
Please share any concerns or questions you'd like addressed by staff.
Should be Empty: