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.

To see our curriculum options in details, please see our Basecamp Mountain Day Curriculum Descriptions.

  = 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. 2 rotations= 2 choices, 3 rotations= 3 choices, etc)   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