Extended Troop Trip Application

Number of Cadettes attending trip If 'zero' enter 0 0/0

Number of Seniors attending trip If 'zero' enter 0 0/0

Number of Ambassadors attending trip If 'zero' enter 0 0/0

Number of Adult Females attending trip 0/0

Number of Adult Males attending trip If 'zero' enter 0 0/0

Emergency Contact not on trip 0/0

Emergency Contact attending the trip 0/0

Name of First Aid & CPR Certified Volunteer attending the trip 0/0

Name of Overnight Skills Trained (IOS/BOS) Volunteer attending the trip 0/0

List other certifications, including certification type, certified volunteers name, and dates of certifications below 0/0

Departure Date 0/0

Return Date 0/0

Trip Destination 0/0

Lodging Name & Address 0/0

Transportation type 0/0

Airline & Flight Numbers 0/0

Airfare cost 0/0

Lodging cost 0/0

Transportation cost 0/0

Food cost 0/0

Activities cost 0/0

Tipping cost 0/0

Tip buffer cost 0/0

Insurance cost 0/0

Other costs 0/0

Total trip cost 0/0

Compliance Agreement By entering my name I am agreeing to all compliance statements above. 0/0