Request a Quote: Outdoor Education

Name of group or school*

Breifly describe the nature of your group (e.g school, church or family)

Primary contact*

First Last

Contact Email*

Enter Email Confirm Email

Contact Phone*

Work Phone*

Address of group, school or business*

Street Address City State / Province / Region ZIP / Postal Code Country

Preferred Start Date

Prefered Arrival Time*

: HH

MM

Preferred End date

Prefered Departure Time*

: HH

MM

Are your dates flexible?

How many youth?

How many adults?

How many meals will Takodah provide*

What are your groups needs?

All inclusive program (lodging and meals)
Facility rental only (Dining Hall, Kitchen etc)
Facility rental with a partial programming
Wedding Event

What are your groups primary interests? Please select all that apply.

Age of group

Please describe any additional requests or interests your group has.

Are you Takodah Alumni?

Yes
No

How did you hear about us?*

THANK YOU. We are delighted to hear from you. This form will be sent to Nick Wheeler (Director of Educational Programs) at nick@takodahymca.org. We look forward to being in touch.

Are you a robot?

Name

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