Basecamp Mountain Day

Use this form if you want to book the Colorado Mountain Club Youth Programs Basecamp Mountain Day. A Basecamp Mountain Day is located at the Colorado Mountain Club Basecamp, 15605 W. 32nd Ave, Golden, CO and can serve up to 80 students.

This is for a program package only. If you want any customization to this form, please use the Custom Program Registration Form.

  = required field

Today's Date  

Your E-Mail Address  

School/Group  

Group Coordinator Name  

Group Coordinator Phone Number  

Billing Contact Name  

Billing Contact Email Address  

School District  

County of School/Group  

AdamsArapahoeBoulderBroomfieldDouglasDenverEl PasoJeffersonOther

Desired Program Date (1st Choice)  

Desired Program Date (2nd Choice)  

Desired Program Date (3rd Choice)  

Expected Number of Students  

Student Grade Level  

Desired Rotation Schedule  

10am-12pm, 2 program choices, maximum 40 students (Base price $400)10am-1pm, 3 program choices, maximum 60 students (base price, $700)9:30-1:30, 4 program choices, maximum 80 students (Base Price $1000)

Program Choices (choose as many choices as you have rotations. 3 rotations= 3 choices)   If you would like more than one rotation of the same activity (ie 2 rotations of teambuilding), please note that in the additional comments below.

TeambuildingLeadershipBouldering Bus (+$50)Mountain Safety- 10 essentials Mountain Safety- Leave No Trace Slacklining (+$50)Indoor Rock Climbing ($50 + $6 per student)

How many teachers/chaperones plan to attend?   1 teacher/chaperone per rotation is required.

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

Is your school a Title 1 School?  

YesNo

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

Yes- Please submit a scholarship applicationNo

How did you hear about CMC Youth Programs  

Colorado Mountain Club websiteSCFD/Alliance ProjectPrevious VisitWord of MouthOther

Additional Comments