Southwest Parks Trip Questionnaire & Waiver

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Student Name(Required)

Have you ever traveled away from home alone this long before?(Required)

What are you most looking forward to about this trip?(Required)

What are you most nervous/apprehensive about regarding this trip?(Required)

How would you rate your own level of fitness around hiking?(Required)

1 - Beginner (little/no hiking experience)

2 – Basic (short, easy hikes)

3 – Moderate (regular hiker)

4 – Experienced (longer, harder hikes)

5 – Advanced (challenging terrain & distance)

MEALS & FOOD

Feeding 30 people on a limited budget is challenging, so having accurate information ahead of time is essential for proper planning. To ensure everyone’s safety and needs are met, it is very important that all food allergies, sensitivities, and dietary restrictions are reported clearly and completely. Please be sure to complete the Meals & Food section thoroughly and accurately.

FOOD ALLERGIES (check all that apply)(Required)

None

Peanuts

Tree nuts

Dairy

Wheat/Gluten

Soy

Shellfish

Fish

Sesame

Other

Other Food Allergies

DIETARY RETRICTIONS(Required)

None

Vegetarian

Vegan

Kosher

Lactose-free

Gluten-free

Other

We will do our best to accommodate dietary restrictions but, grocery stores and item availability is sparse in Moab and Zion. If there are specific snacks your child needs, please have them bring them.

Other Dietary Retrictions

SNACK'S I LIKE(Required)

Whatever, I am not picky

Granola Bars

Fruit Cups

Fresh Fruit

Chips

Crackers

Cheese Stick

Yogurt

Veggies

Pretzels

Other

Other Snack's I Like

LUNCH PREFERENCE(Required)

LTS will supply lunch items. Students are responsible for making and packing their own lunches daily.

Whatever, I am not picky

Turkey Sandwich

Ham Sandwich

Peanut Butter & Jelly Sandwich

SunButter & Jelly Sandwich

Bagel w/cream cheese

Other

Other Lunch Preferences

FOODS I WILL NOT EAT

COOKING SKILLS(Required)

We rotate small groups of students to assist in meal prep and clean up. Please indicate your level of cooking skill.

Beginner - I don't really cook. I need help and mostly use the microwave.

Basic - I can make simple foods with help (ie. sandwiches, eggs, noodles)

Good - I can cook full meals, use different kitchen tools, and don't need much help.

Great - I am very confident cooking, can make lots of different meals, and can use different kitchen tools.

ACCOMODATIONS

There are no single rooms. Students should be prepared to room with at least one (most likely more) other student.

Roomies!(Required)

Please list 4 students who you would be comfortable bunking with. We do our best to ensure you end up with at least one of them. List first and last names.

Questions

Please list any questions you have that have not be addressed in the SWX Google Doc. and someone will respond.

WAIVER AND RELEASE OF CLAIMS for Southwest Parks Expedition March 25-April 4, 2026

This Release shall apply to the Southwest Parks Expedition from March 25-April 4, 2026.

Consent(Required)

I understand and acknowledge this trip involves air travel, and outdoor physical activities. I acknowledge that there are risks to my child associated with going on this trip.

Consent(Required)

I hereby authorize a representative of Long Trail School to consent to any emergency medical treatment for my child on this trip, and I further agree to be responsible for any medical, dental or hospital fees associated with such treatment.

Consent(Required)

I understand that my child is expected to behave responsibly and to follow all LTS rules and policies, and any and all directives of LTS staff or other chaperones on the trip. I understand and agree that if my child does not follow all LTS rules and policies and chaperone directives, my child may be sent home immediately and I will be responsible for any additional costs.

Consent(Required)

I agree to waive, release, indemnify, hold harmless, and forever discharge Long Trail School, its teachers, administrators, trustees, supervisors, agents, employees, from all claims, demands, liability, right or causes of action of whatsoever kind or nature, brought my myself or any other person or entity, arising from or in any way connected with my or my child’s participation in this trip, including but not limited to negligence, gross negligence, personal injury or loss of any kind, property damage, economic loss, court costs, attorneys’ fees and interest. This release relates to any risks whether foreseen or unforeseen.

Parent/Guardian First and Last Name(Required)

Parent Email(Required)