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2020 Routt Service Learning Crew Participant Application
Thank you for your interest in participating in the 2020 Routt Service Learning Crew program!

Please take a moment to complete the online application. Please be sure to click the "submit" button when you are finished.

Session Dates: (sessions run M-F, with one overnight on the last Thursday-Friday)
SESSION ONE: June 8th - June 19th (M-F, 8am-4pm overnight on June the 18th)
SESSION TWO: June 22th - July 3rd (M-F, 8am-4pm overnight on July the 2nd)
SESSION THREE: July 6th - July 17th (M-F, 8am-4pm overnight on July the 16th)
SESSION FOUR: July 20th - July 31st (M-F, 8am-4pm overnight on July the 30th)
SESSION FIVE: August 3rd - August 14th (M-F, 8am-4pm overnight on August the 13th)


For program information, please visit the RMYC website: www.rockymountainyouthcorps.org . After reviewing information on our website, if you have any questions about the program or the application and enrollment process, please contact Carlyn Lawatsch at clawatsch@rockymountainyouthcorps.com (970) 879-2135 ext.102.

Session confirmation emails will be sent out starting March 1st.

Thank you!
Email address *
Youth Last Name *
Your answer
Youth First Name *
Your answer
Youth Age *
age at the time the session starts
Youth Birthday *
MM
/
DD
/
YYYY
Gender
Rocky Mountain Youth Corps does not discriminate on the basis of sexual orientation, gender identity or expression.
Your answer
Parent(s) Name(s) *
First Last
Your answer
Parent Email Address (must be different from youth email) *
Your answer
Phone # *
Your answer
Second Phone # *
Your answer
Mailing Address *
Full Mailing Address including city, state, and zip code
Your answer
Grade *
What grade are you entering in the 2020-2021 school year?
School *
What school will you be attending in the 2020-2021 school year?
T-Shirt Size: Participants are expected to wear t-shirts everyday to be presentable as a unified crew *
1 t-shirt is included with registration fee
Session availability (Please rank your session preferences. 1=highest priority, 3=lowest priority.) *
Program Days are Mondays – Fridays, 8:00 am – 4:00 pm. The overnight camping at a local state park is the last Thursday night of each session. Awards Ceremony on last Friday of each session at RMYC Office at 3:00 pm.
Session 1 (6/8-6/19)
Session 2 (6/22-7/3)
Session 3 (7/6-7/17)
Session 4 (7/20-7/31)
Session 5 (8/3-8/14)
1
2
3
Overnight Camping *
Please confirm if your child will be attending the overnight camping trip to be held on the second Thursday of your session at a local state park?
Have you participated in Service Learning Crew before? *
If Yes, what year(s)
Your answer
Registration fee of $150 to cover crew supplies and general costs accrued from the program *
I would like to donate to the SLC scholarship fund. Please provide the amount you are willing to donate.
Thanks for your support!
Your answer
Parent or Legal Guardian Signature *
By entering your name below, you are signing the application for participation in the SLC program.
Your answer
Comments
Please add any comments you believe will be helpful for us to know in your application. Additional program information will be confirmed upon enrollment.
Your answer
A copy of your responses will be emailed to the address you provided.
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