May Midterm Trip 2023 - Intake Form
Thank you for your interest in joining the May Midterm Trip 2023 (May 18 - 23) to explore, shop & play in central Vancouver Island - Nanaimo, Parksville & Combs, BC. 

Please fill out this form if you are interested in joining the trip. We will send the parental consent form to your guardians shortly after receiving your form. Once they have signed and sent back their form, this will confirm your participation on this trip. 

Sign in to Google to save your progress. Learn more
Email *

Itinerary

Click here for the preliminary itinerary.

First Name *
Last Name *
Parent consent is required. We will forward a parent consent form to your guardians shortly after we have received your interest form. Please know that your parents form may differ from your requests below; it is advised you share with your family what you want. *
Grade *
Pricing & Bedding preference (preliminary; final pricing on parental consent may differ): *

Rooms at each hotel have 2 beds ONLY (double or queen size; size not guaranteed; 1 bed might be a pull-out sofa). 

Rooms with 3 or 4 people will require a bedshare for at least 2 people.

No COTS are available due to safety and fire regulations.

Your parent may choose different than you. 
*
Roommate request: *
Food Allergies or Dietary Restrictions:  *
Which would you prefer (parent waiver and permission required):
Clear selection
If possible, would you like to also include the Primal Swing or Bungie Jump (approx. $150 more; parent consent and waiver required).
Clear selection
This request for bungie/swing will be taken into consideration, but may not be possible due to timing for the group. If you ask for this and your parent agrees and pre-pays, we will refund if we cannot book this for you.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brentwood College School. Report Abuse