Outdoor Education Planning Form

Complete this form prior your Outdoor Education Program field trip. Personal information collected will be used by Credit Valley Conservation Authority staff to respond to your service request and/or inquiry in accordance with our privacy policy.

Name

This field is for validation purposes and should be left unchanged.

Please note: Both Watershed Wayfinding and Eco Map Quest programs cannot be offered to the same class.

School Name(Required)

Teacher Name(Required)

First Last

Email(Required)

Cell Number(Required)

Program Location(Required)

Terra Cotta Conservation Area at the Outdoor Education Centre

Date of Trip

Trip length

Full day (2 programs)

Half day trip (1 program)

Please select a program:(Required)

Please select a second program:(Required)

Grade(s):(Required)

Number of Students(Required)

Number of Adults (if known)

Health Concerns (epi pen, allergies, asthma etc.). List all that apply:

Bus departure time from school(Required)

Bus departure time from Terra Cotta CA(Required)

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Alternate Formats

We can provide our services in alternate formats. Please let us know what format you would like to receive our services.

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