Request for Class, Tour, Presentation Requestor Name* First Last Requester Organization Email* Add me to your mailing list Yes Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCura莽aoCyprusCzechiaC么te d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaR茅unionSaint Barth茅lemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluT眉rkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe脜land Islands 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? Yes No If 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 1st Preferred Date and Time1st Preferred Date* MM slash DD slash YYYY 1st Preferred Start Time* : Hours Minutes AM PM AM/PM 1st Duration*How long would you like this to last (in hours)?Please enter a number from 1 to 8.2nd Preferred Date and Time2nd Preferred Date MM slash DD slash YYYY 2nd Preferred Start Time : Hours Minutes AM PM AM/PM 2nd Duration*How long would you like this to last (in hours)?Please enter a number from 1 to 8.3rd Preferred Date and Time3rd Preferred Date MM slash DD slash YYYY 3rd Preferred Start Time : Hours Minutes AM PM AM/PM 3rd Duration*How long would you like this to last (in hours)?Please enter a number from 1 to 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 Δ