School Planning Form

Battle Creek Public Schools Outdoor Education Center, Clear Lake Camp
10160 S M-37 Hwy, Dowling, MI 49050. PH: 269-721-8161. www.clearlakecamp.org

Submit at least 3 weeks before camp dates.

School Name *
School Address School Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Building Phone Building Phone * - ### - ### ####
Principal Principal * First Last
Arrival Date at the OEC Arrival Date at the OEC / MM / DD YYYY
Departure Time from School Departure Time from School : HH MM AM/PM
Arrival Time at the OEC Arrival Time at the OEC : HH MM AM/PM
Departure Date from the OEC Departure Date from the OEC / MM / DD YYYY
Departure Time from the OEC Departure Time from the OEC : HH MM AM/PM
Contact Person Contact Person * First Last
Email of Contact Person *
Phone of Contact Person Phone of Contact Person * - ### - ### ####
Grade *
Total Number of Students *
Number of Boys *
Number of Girls *
Name of Teacher Name of Teacher First Last
Number of Students
Name of Teacher Name of Teacher First Last
Number of Students
Name of Teacher Name of Teacher First Last
Number of Students
Name of Teacher Name of Teacher First Last
Number of Students
Transportation methods for students
Transportation methods for luggage
Teachers staying overnight (include gender)
Expected guests / visitors:
Students late arrivals/early departures
Medical or behavioral considerations
Special dietary considerations