ANGELES SIERRA CLUB ICO / FOR LEADERS ONLY!
Outings Information Form

For Leaders only: use this online form to register a school or agency with ICO and organize upcoming trips.

INSTRUCTIONS: Fill out this form online and either
a) click SEND THIS INFO button below (your information will be emailed to Dan Butler, ICO Bus Coordinator)
  or
b) print this form and mail to Dan Butler, ICO Bus Coordinator 

 

   
Your Name:

School/Agency Name:
Street Address:
      
City, Zip (Zipcode important!):
      
Phone:      
School/Agency Contact:
Work Phone:
      
Home Phone:
      
Bus Pickup Point and Special Directions:
Expected Number of Participants:

Grades:
Expected Number of Teachers or Agency Personnel:
Expected Number of Other Adults:
ICO Contact:
Home Phone:      
Work Phone:      
Date of Application:

Comments: