Trip Report for Youth Groups Please fill out the following information to submit your trip report. If you have any questions, please contact Washington Trails Association at 206-971-9968 or email Andrew Pringle. Trip Leader Information First Name Last Name E-Mail Address Your Title School or Organization Information Name of School or Organization Type of Organization Youth Org. After School Youth Org. Summer Program Youth Org. Outdoor/Environmental Education Youth Org. Therapeutic Public School K-12 Private School K-12 College or University Other, youth worker Other, non-youth worker School District In which district, or independent school, do most of your students attend school? If applicable, list multiple districts. Free or Reduced Lunch Qualifications Approximately what percentage of youth at your school or in your organization qualify for free or reduced lunch programs? <40% 40% 50% 60% 70% 80% 90% 100% Percentage that qualify. Trip Information Date of Trip Overnight Trip? No Yes (Please list the number of nights below.) Trip Location Name of the trail, campground, park or forest. Number of Adult Particpants Including the trip leader. Additional WTA-trained Adults? Did other WTA workshop graduates participate in your trip? No Yes (Please list their full name below.) Number of Youth Particpants Grade Level of Youth Particpants Select all that apply. Elementary Middle School High School Post-High School (18-25) Challenges and Successes Briefly describe any challenges your group faced during the trip and highlight any successes in overcoming obstacles or difficulties. Positive Impacts Briefly describe any general or specific outcomes from your trip. If you're able, please share quotes or anecdotes that highlight the positive impacts of the trip on youth and adult participants. Trip Photos If you're able, please share select photos from your trip. Please ensure that you have photo release forms for all persons identified in the photos. WTA may choose to share these photos on our website, in our publications, or through our other media outlets to maintain support for this program. If you would like to share additional photos, please email them to: andrew@wta.org Photo 1 Photo 2 Photo 3 Photo Credit Please list the appropriate photo credit, for example, "Courtesy of Seattle Public Schools". Demographics Information Your Race or Ethnicity Please select the category or categories with which you most closely identify. Alaskan Native American Indian Asian Black Latino Pacific Islander White Other (If applicable, please specify below.) Your Gender Please select the category or categories with which you most closely identify. Man Woman Transgender Other (If applicable, please specify below.) Your Age Horizontal Line Questions / Comments Horizontal Line Questions / Comments Horizontal Line Questions / Comments Horizontal Line Questions / Comments Horizontal Line Questions / Comments
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