Note: Please check all that apply

Guided venue:
Yes
No
Partial

Type of outing venue:
Museum
Food
Park
Shopping
Theatre
Nature
Other

Name of site:

Contact person for reservations:

Phone number(s):

Fax number:

Email address:

Website:

Address:

Cost per person:
Free
$1-$5.99
$6-$10.99
$11-$15.99
$16-$20.99
$21-$25.99
$26+
Other Fees:

Description of setting:


Recommended visit time:
Morning
Afternoon
Evening
Weekend
Anytime

Opening hour: Closing hour:

Season to visit:
Summer
Fall
Winter
Spring
Any season

Adapted for weather:
Yes
No
Somewhat-explain:

Suitable for people:
Autonomous
Semi-autonomous
Non-autonomous

Appropriate for # of participants:
0 -10
11-20
21-30
30+

Wheelchair adapted (ramps, bathrooms, etc.):
Yes
No
Somewhat-explain:

Special adaptations required:

Comments:

References (your name & telephone # if applicable):

Recommend visiting again?
Yes
No
Maybe-reason:

Thank-you for sharing this information with us!