Kids Healthy Outdoor Challenge (KHOC) Transportation Application Form

Transportation applications accepted through March 7, 2022.

Field trip to be completed by May 13, 2022.

Bus Requests accepted for:
Monday through Friday trips (except Holidays), up to seven hours maximum.
Availability by the bus companies we contract with is not guaranteed.

Fill in all of the required fields and information, as indicated.

Your School or Organization

School Name

Bus Pickup Location Address

Mailing Address (if different from pickup address)

City

Zip Code

KHOC Approved Teacher Name (Trip Coordinator)

Name of Additional Teacher Joining the Trip

If adding a second class to your transportation request
KHOC approval is not required

School Phone

School Phone Extension

Cell Phone

Email Address

Please click here to acknowledge that all riders must remain masked while in transit

Please let us know if your school has requirements for COVID spacing for transportation?

Destination

East Bay Regional Park or Visitor Center (Select one)

Yes, I am coordinating a Naturalist Program and the date is confirmed for (enter the date):

The program’s start and end times are:

No, I am not coordinating a Naturalist Program. First Choice date for my self-led trip (enter the date):

Second Choice date or date ranges we can be available:

(ie: any Tuesday in March, etc.)

Transportation Pickup and Return Times (7 Hour Trip Maximum)

Preferred pickup time at your school (Select one)

Preferred drop-off time at your school

Passenger Information

How many adults?

(Must have at least 1:10 ratio of adult chaperones to children on the bus)

How many Grade 3 children?

Is another class joining your trip? Please indicate your total passenger count and their grade level

Total Number of Passengers

These figures include how many passengers in wheelchairs?

Were you a KHOC approved teacher in 2020 whose trip was cancelled due to COVID-19?

Yes

Additional Comments

Kids Healthy Outdoor Challenge (KHOC) Transportation Application Form

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