Request for Class, Tour, Presentation Requestor Name* First Last Requester OrganizationEmail* Add me to your mailing list Yes Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Main PhoneCell PhoneType of Program Desired* Tour of Alpine Rescue Team HQ Presentation Event Booth Descriptions of Programs We Offer: Tour of Alpine Rescue Team HQ - AKA "The Shack" - Visit the location of all team classroom trainings, history, and resources used for performing our mission such as team trucks, radios, climbing wall, and equipment. Presentation - Presentation or class, to your group, whether large or small, at your location or our HQ. Could include audio/visual, demonstration(s), and/or lecture style. Event - Have us participate in your local event to assist in further educating your audience about outdoor safety. Booth - Members will setup a booth for educating your audience. This could include banners, equipment, "10 Basic Essentials", and more. Presentation RequirementsIs a Windows based computer and projection system with PowerPoint available?YesNoIf no, please describe the presentation environment and if we can bring in our own laptop.Off Site LocationIf you'd like us to come to your location, please list the address here. Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 1st Preferred Date and Time1st Preferred Date* 1st Preferred Start Time* : HH MM AM PM 1st Duration*How long would you like this to last (in hours)?Please enter a value between 1 and 8.2nd Preferred Date and Time2nd Preferred Date 2nd Preferred Start Time : HH MM AM PM 2nd Duration*How long would you like this to last (in hours)?Please enter a value between 1 and 8.3rd Preferred Date and Time3rd Preferred Date 3rd Preferred Start Time : HH MM AM PM 3rd Duration*How long would you like this to last (in hours)?Please enter a value between 1 and 8.How many adults will be there?How many kids will be there?What's the age range of the kids?Description of request*Please identify specific items to cover or of special interestHas Alpine conducted a program for you in the past? When, where?CAPTCHAAlpine Rescue Team HQ 28802 Rainbow Hill Rd Evergreen, CO 80439