Www.sierraclub.org



INSPIRING CONNECTIONS OUTDOORS TRIP REPORT FORM

Send this form by email or mail within one month of your outing to:

Kyle Kacerek, 2413 E 19th St. Tucson, AZ 85719 or kyle.kacerek@

Outing date ________________________ Outing start time_________ Outing location___________________________________

Outing activity type (hiking, camping, etc.) ___________________________________________________

ICO trip leader _________________________________

Email_____________________________________ Phone______________________ Total outing cost __________

Partner Agency : Any agencies that you are working with on the outing.  This could be a church, a school, YMCA, Boys and Girls Club, etc._________________________________________________________________

ICO Volunteer names ________________________________ Agency Staff names_______________________________________

Total group size: The total number of people who attended the outing (including yourself). ______

Youth participants: The number of participants on the trip under the age of 18. ______

Youth leaders: The number of ICO volunteers and ICO leaders between the age of 14 and 17. ______

Adult participants: The number of participants on the trip 18 and over. ______

Adult leaders: The number of ICO volunteers and ICO leaders 18 and over on the trip. ______

Participant age range (check all that apply):

☐Children 12 and under ☐Adolescents 13-17 ☐Young adults 18-29 ☐Adults 30 and over

Ethnicity of participants (check all that apply):

☐African-American ☐Asian ☐Caucasian ☐Hispanic ☐Native American ☐Other

Participant gender makeup (check all that apply): ☐Female ☐Male

Total # of volunteer hours (include time for all volunteers for pre-trip, trip & post trip) ____________

Were there injuries on the trip? If so, how were they handled? Is follow-up needed?

Were there any other problems or issues that arose on the trip? If so, how were they handled? Is follow-up needed?

Did you return all the borrowed ICO gear to the storage shed? Is it all dry and clean? Is there anything that was damaged and/or needs to be repaired?

What activities did you do on this trip?

What should future trip leaders know about this outings location?

Would you do this trip again? If not, explain why not.

What was the response from the trip participants? (Quotes are great!)

ADDITIONAL COMMENTS: additional comments, quotes, and trip stories.

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download