Boojum Program Proposal Request

Greetings!
It is important that we deliver a successful program the first time. In an effort to provide your students and staff with such a program, we collect pertinent information early to best design a program itinerary that will fit your student/faculty goals and objectives. Boojum can customize your program to your needs, so don’t hesitate to ask!

Name
First Last
Title
Organization
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Phone
What program locations or areas are you interested in?
Examples: Mountain, Desert, Ocean, River, Joshua Tree, High Sierras, Colorado River, Channel Islands, etc. Be as specific as you like.
What program types or activities are you interested in?
Examples: Backpacking, Challenge Course, Rock Climbing, Basecamp, Residential, Team building, Science, Ecology/Environment. Be as specific as you like.
Approximate Date(s):

Approximately what dates are you considering for your program?
Student Age/Grade if Under 18 years:
Estimated Number of Students:
Educational or Personal Goals:
How did you hear about Boojum?
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