School and Group Registration Form

Colorado Mountain Club's Youth Education Program. Complete this form if you are interested in our programming, and an admin representative will reach out.

= required field

Your E-Mail Address

School/Group

Group Coordinator Name

Group Coordinator Phone Number

Billing Contact Name If same as Group Coordinator, or same as previous year, skip to School District

Billing Contact Phone

Billing Contact Address

School District

County of School/Group

Desired Program Date (1st Choice)

Desired Program Date (2nd Choice)

Desired Program Date (3rd Choice)

Desired Program Start Time

Desired Program End Time

Desired Program check all that apply

Desired Program Location

Expected Number of Students

Student Grade Level

Are there any unique student needs or tips for working with your students? please specify

How many teachers plan to attend? You are expected to bring at least one adult for every 15-20 students or group

How many chaperones plan to attend? You are expected to bring at least one adult for every 15-20 students or group

What outcomes are you looking for from the curriculum/program? Specific academic standards you are hoping to meet, goals for students, etc.

Have you or will you be covering any related curriculum in your class?

Comments or Additional Details

How did you hear about CMC Youth Programs

What is your budget for this program?

What percentage of your school is on free and reduced lunch? We use this information for grant reporting that supports our scholarships we provide programs.

Is your school a Title 1 school?

yes no

Do you need financial assistance? If yes, please fill submit application here: https://forms.gle/Vs74Z6eBPFdjmrf68

Please make sure all required questions are answered

School and Group Registration Form

CMC

The CMC

Connect with the CMC Community

Connect with the CMC Community