Student Action Registration Form
Please complete the form below to officially enter our Challenges offered by the Poudre Learning Center. Each participating teacher must complete this form.
Which challenge would you like to register for?
*
The GROW Challenge (Grades 3-5)
The RISE Challenge (Grades 6-8)
Caring for Our Watersheds (Grades 8-12)
Class Information
Are you a Greeley-Evans School District 6 School?
*
Yes
No
School Name
*
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Participating Grade Level(s)
*
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
HS
Title (Mr., Mrs., Dr., etc.)
*
Teacher Name
*
Teacher Email
*
Number of Participating Students
*
When do you anticipate your students will start the challenge?
*
Have you participated in the Challenge in the past?
*
Yes
No
Additional Comments/Questions
Apply
Should be Empty: