request for information form

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Please fill out the form below and submit it so we can provide you with everything needed to schedule an event for your school. A Camp Bournedale Education staff member will respond swiftly. Thank you!

school name:    

telephone:         

address:             

city:                   

zip code:           

name/position of person filling out form:  

e-mail address:                                           

total number of students, staff and chaperones expected   10-25 25-50 50-75 50-100 100-150 200-250 300-350 400-450 500+

date(s) Camp Bournedale Education programming is needed:

month   January Feburary March April May June September October November December    day    01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31     year  2002 2003 2004

Please note below any other essential information or details e.g., thematic requirements, specific equipment, student or staff dietary requirements, and / or special disabilities access needs: