Enroll? SATURDAY (ONE-TIME) DAY/TIME Pick-Up Location Drop-Off Location Saturday 6/9/2018 Home Home Get Outdoors Day (11am-3pm) Basesite Basesite Saturday 6/16/2018 Home Home Hike & Picnic (11am-3pm) Basesite Basesite Saturday 6/23/2018 Home Home Fitness & Fun (11am-3pm) Basesite Basesite Greeley Stampede Saturday 6/30/2018 Home Home Rodeo (12pm-4pm) Basesite Basesite Saturday 7/7/2018 Home Home Elitch Gardens (10am-4pm) Basesite Basesite Saturday 7/14/2018 Home Home Hike & Picnic (11am-3pm) Basesite Basesite Enroll? SATURDAY (PRIVATE PAY) DAY/TIME Pick-Up Location Drop-Off Location Boulder Dinner Theater: Saturday 7/21/2018 Home Home The Little Mermaid (5:30pm-10:30pm) Basesite Basesite Saturday 7/28/2018 Home Home Reservoir Day (11am-3pm) Basesite Basesite Saturday 8/4/2018 Home Home Hike & Picnic (11am-3pm) Basesite Basesite Saturday 8/11/2018 Home Home Rockies Game (5:30pm-9:30pm) Basesite Basesite Out & About Bike Block Saturday 8/18/2018 Home Home Party (11am-3pm) Basesite Basesite Saturday 8/25/2018 Home Home Waterworld (10am-4pm) Basesite Basesite ***PRIVATE PAY EVENTS IN RED FORM INSTRUCTIONS To choose an activity, check the “Select” box. Transportation: Please select a box for either a pick-up/drop-off at home or at your nearest basesite for EACH ACTIVITY Fill out all the participant information and sign above for acknowledgement. To register, have participant’s Case Manager complete this form, save it with the participant’s name and “Summer 2018”, and to email it by May 1st , 2018. You may also mail-in registration to: Out & About ATTN: Ally Joel, Catalog Coordinator 1665 Coal Creek Drive Lafayette, CO 80026
Enroll? SATURDAY (ONE-TIME) DAY/TIME Pick-Up Location Drop-Off Location Get Outdoors Day Saturday 6/9/2018 (11am-3pm) Home Basesite Home Basesite Hike & Picnic Saturday 6/16/2018 (11am-3pm) Home Basesite Home Basesite Fitness & Fun Saturday 6/23/2018 (11am-3pm) Home Basesite Home Basesite Greeley Stampede Rodeo Saturday 6/30/2018 (12pm-4pm) Home Basesite Home Basesite Elitch Gardens Saturday 7/7/2018 (10am-4pm) Home Basesite Home Basesite Hike & Picnic Saturday 7/14/2018 (11am-3pm) Home Basesite Home Basesite Enroll? SATURDAY (PRIVATE PAY) DAY/TIME Pick-Up Location Drop-Off Location Boulder Dinner Theater: The Little Mermaid Saturday 7/21/2018 (5:30pm-10:30pm) Home Basesite Home Basesite Reservoir Day Saturday 7/28/2018 (11am-3pm) Home Basesite Home Basesite Hike & Picnic Saturday 8/4/2018 (11am-3pm) Home Basesite Home Basesite Rockies Game Saturday 8/11/2018 (5:30pm-9:30pm) Home Basesite Home Basesite Out & About Bike Block Party Saturday 8/18/2018 (11am-3pm) Home Basesite Home Basesite Waterworld Saturday 8/25/2018 (10am-4pm) Home Basesite Home Basesite ***PRIVATE PAY EVENTS IN RED FORM INSTRUCTIONS To choose an activity, check the “Select” box. Transportation: Please select a box for either a pick-up/drop-off at home or at your nearest basesite for EACH ACTIVITY Fill out all the participant information and sign above for acknowledgement. To register, have participant’s Case Manager complete this form, save it with the participant’s name and “Summer 2018”, and email it to by May 1st , 2018. You may also mail-in registration to: Out & About ATTN: Ally Joel, Catalog Coordinator 1665 Coal Creek Drive Lafayette, CO 80026