Cherry Hills Village Elementary School

                                       Fifth Grade Backpacking Course

                                    Group Roster and Equipment Inventory

This sheet must be received at Kent Mountain Adventure Center by August 24 for group rosters and equipment inventory.  Please mail or email this form and the:

•  Enrollment application
•  Medical form 
•  Consent form
•  Final payment

To:  Kent Mountain Adventure Center

       P.O. Box 835

       Estes Park, CO  80517

Email:  kmac@frii.com

Please choose two friends you would like to be in your group.  We will do our best to have you be with both, however, you will be with at least one of the listed friends.

Your name:               __________________________________

1. Friend name:       __________________________________

2. Friend name:       __________________________________

Due to the extraordinary response to the CHVE/KMAC backpacking trip, it is helpful to know if participants are providing their own equipment.

Please put a check by the equipment you will bring on the trip.  If an item is checked off, you will be expected to provide that item.

________  backpack

________  ground pad

________  rain gear

Please email Judy Bogart at jbogart@cherrycreekschools.org or KMAC at kmac@frii.com if you have any questions.  (970) 586-5990.