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.
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