CHECC Field Trip Planner 

Follow this form as you make your contacts.                                                             

Organizer_______________________________________________________ Phone Number ______________________________
                                           (Your name)
Field Trip _______________________________________________________ For ages _________________________

Date ____________Day _____________Arrival Time ___________ Field Trip Time ____________
                                                                   (Arrival should be 15 minutes prior to field trip time)

Address/Location ________________________________________________________________Travel Time _____________

Purpose and description of Field Trip:  ___________________________________________________________________________

 ______________________________________________________________________________________________________________

________________________________________________________________________________________________________________

Contact person ________________________________________________________Phone # _________________________________

# of Reservations _____________Cost: Adult _____________Child _______________Special Group Price ____________________ 

Accepted form of payment __________________________________ (Contact the Treasurer for a group check.)

Directions__________________________________________________________________________________________________________

___________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________

Are maps available? Y______ N______ Are cameras or videos allowed? Y______ N______ Strollers? Y______ N______

How long will the group be at the site? ____________________ Is there a place to eat lunch? Y____ N____

Guidelines: _________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

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Evaluation – Your personal comments ________________________________________________________________________________

____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

Age appropriate? Y_____ N_____ Comments ___________________________________________________________________________

____________________________________________________________________________________________________________________

Should this trip be repeated? Y_____ N_____ Comment _________________________________________________________________

____________________________________________________________________________________________________________________

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After the trip return this form to the field trip coordinator/liaison.  Thank you for taking the time to organize this field trip.