"Fit For Life"

North Star Trip Submission Form

Trip Leader First Name:

Trip Leader Last Name:

Trip Leader Email Address:

Trip Leader Phone Number (including Area Code)

Co-Leader First Name:

Co-Leader Last Name:

Co-Leader Email Address:

Co-Leader Phone Number (including Area Code)

Category:A - All ClubAK - Kids WelcomeS - SinglesW - Women OnlyWW - Wed Wanderers

First Day of Trip (Year):20092010Month:JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay:12345678910111213141516171819202122232425262728293031

Last Day of Trip (Year):20092010Month:JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay:12345678910111213141516171819202122232425262728293031

Title:

Detailed Trip Description (Please be Brief, concise and check for accuracy. Include Estimated costs, deposit amount, deadlines etc. Extended trips must be approved by NSSTC board.