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2019 Summit Service Learning Crew Participant Application
Thank you for your interest in participating in the 2019 Summit 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 Thursday 20th-Friday 21st)
June 10th- 14th, June 17th-21st

For program information, please visit the RMYC website: https://www.rockymountainyouthcorps.org/ages-11-13. After reviewing information on our website, if you have any questions about the program or the application and enrollment process, please contact Carlyn Lawatsch: clawatsch@rockymountainyouthcorps.com (970) 879-2135 ext.102

Enrollment and session information will be confirmed by email the week of May 1st.

Thank you!

Youth Name *
First Last
Your answer
Youth Age *
age at the time the session starts
Your answer
Youth Birthday *
Your answer
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
Mailing Address *
Full Mailing Address including city, state, and zip code
Your answer
Phone # *
Your answer
Second Phone # *
Your answer
Parent Email Address *
Your answer
Grade *
What grade are you entering in the 2019-2020 school year?
School *
What school will you be attending in the 2019-2020 school year?
Your answer
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
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
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
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