Please fill out the following information for your school:
Name of School*
, AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
School Phone Number*( ) -
Group Leader Name*
Group Leader Email *
Group Leader Phone Number*( ) -
Principal Name*
Principal Email*
Principal Phone Number*( ) -
Day Trip or Overnight? Day Trip Overnight
Date of Encampment
After viewing our available dates calendar, please select your top 3 choices for encampment dates. Based on availability and your group size, we may not be able to accommodate your first choice.
First Choice* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2020 2021
Second Choice* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2020 2021
Third Choice* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2020 2021
Program Information
Please answer the following questions about your desired trip:
Number of students (approximately)*
Number of adults (approximately, including teachers)*
2
3
4
5
6
New to Indian Hills? How did you hear about us?
Thank you for completing this form. We will contact you shortly with the next steps in the registration process.