Date:
Your Name:
Phone:
Email:

Type of Outing:

Lead by:

Suggested dates for outing:

Where (including directions), if known:


Equipment required:


Approx Cost per person:

Suggested items to bring:

Difficulty rating: ___Very Easy ___Moderate ___Challenging

Restrictions (health, travel time, rain date, etc.):

Any other helpful info:

Have you experienced this outing before?

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