JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Outdoor Ed Backpack/Kit Check-Out Form
Fill this form out to reserve one of our Outdoor Ed Backpack/Kits -- please follow up with Mr. Pierson (
rodney.pierson@asd20.org
) to confirm your reservation of the selected kit. Monday morning pick-ups will be due back on Friday morning by 9 a.m. Friday morning pick-ups will be due back on Monday morning by 9 a.m.
** All kits have "Where to explore around Colorado Springs" folders complete with maps.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's Last name, First name
*
Your answer
Parent Last name, First name
*
Your answer
Parent contact phone number
*
Your answer
Which outdoor education backpack/kit do want to reserve?
*
Animal Tracks/Signs (guide books, quick reference guide, example tracks, weatherproof spiral notebooks, Tracking and the Art of Seeing book
Night Sky/Night Hike (wintergreen Life-savers, 2 sets of colored paper, flashlight, pocket guide to North American night sky, Star Finder Chart, Constellation Pocket Guide)
Orienteering -- "How not to get lost in the woods" (2 compasses, GPS units, Topographic Map Flashcards, Trails Illustrated Map of Pikes Peak Area, Compass and Map guidebook)
Outdoor Survival Skills (Practical guide to survival, waterproof camping tarp, paracord, laminated cards for 10 essentials game)
The Birds, Bees, & More (Binoculars, Magnifying Glass, Bird ID, Wildflower ID, Pollinator ID)
When would you like to pick up the backpack/kit? Please enter the specific date.
*
Monday Morning -- 9-10 a.m.
Friday Morning -- 9-10 a.m.
Specific date you would like to CHECK OUT the kit on
*
MM
/
DD
/
YYYY
Specific date you would like to RETURN the kit on.
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Academy School District 20.
Report Abuse
Forms
