Student Action Registration Form

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?*

YesNo
School Name*
Address

Street Address

Street Address Line 2

CityState

Zip Code
Participating Grade Level(s)*

3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeHS
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?*

YesNo
Additional Comments/Questions
Should be Empty: