College of Wilderness Knowledge

COURSE APPLICATION FORM

 

Mail this page to:

Jean Wallinga Keller

CWK Course Reservations

4157 Sylvia Ct., Shoreview, MN   55126-6427

Or send an e-mail with your group information to:

jeankkeller@comcast.net

 

Name ____________________________________________________

Address __________________________________________________

City ______________________________ State ______ Zip ________

Phone ___________________________________________________

E-mail address ____________________________________________

Group/Troop________________________ District _________________

 

Tuition: There is no charge to youth groups with qualified leadership to participate in courses offered through the CWK or to use its unique

camping facilities.

The only tuition is the desire to learn about nature and the environment

in the out-of-doors. We operate solely from contributions. Scout troops

and similar groups may be asked to do service project.

 

We hereby make application for our group to camp and to participate in one or more College of Wilderness Knowledge course(s) conducted at Birch Bend campground,  (or a day course at Crex Meadows, Marshland or other public owned lands).  More information is also available at www.pba-cwk.org.   

Course: _______________________ __       Week : ________________

Est Youth Attending ___________     Est Adult Leaders ____________

 

Signature of Group Leader: __________________________________