Summer Program :: Field Trip

Field Trip Request
*Your Name:
*Email:
*Cell Phone:
*Program:
*Course Name:
	Teachers working in the Apogee One-Week program should select Session 1.
*Session:
Field Trip Details
*Date of Trip:
Are you flexible with your date?	Yes No
*Departure Time (no earlier than 8:30):
*Return Time (no later than 2:30):
*Destination Name:
*Destination Address:
*Destination Fees:
*Destination Contact (name):
*Destination Contact Info (email, phone):
*Preferred Transportation Method (Apogee may not use public transit)	Public Transit Chartered Bus Walking
*Educational value of field trip:

	* denotes required field