Name of Event: YMCA Camp Cullen

Destination: 460 Cullen Lp, Trinity, TX 75862

Designated Supervisor of Activity: Mr. Van

Date and Time of Departure: 05/03/2024 @ 8:00 am

Date and Time of Return: 05/05/2024 @ 3:30 pm

Fee: The cost for Adults is $120. The cost for students and children under 18 is $180. It will cover the cost of the entire stay, transportation, food, and all activities.

Dress Code: Pack enough appropriate clothes for 3 days. A suggested packing list will be provided.

Payment: Cash, Check or Zelle to 832.359.3417 memo: student’s name

Transportation: Charter Bus

Restrictions: Students K-3rd grade will require at least 1 adult to attend with them. 4th-12th graders will not require an adult to attend with them.

If you would like for your child to participate on this field trip, please sign this form and turn this form in to the student’s teacher by
Monday, 04/15/2024.