Tread Trainer Course Request

1.

Tread Lightly! has limited funding to provide Tread Trainer and Master Tread Trainer courses. Request will priotized on a variety of criteria including Tread Lightly! membership, prospective trainers, and currently active trainers in the area.

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* 1. Today's Date

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* 2. Please fill out the following information.

Name:

Email Address:

Phone Number:

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* 3. Are you a member of a club or organization?

Yes

If yes what is the name of the organization and how many members does it have?

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* 4. What type of course are you requesting

Tread Trainer

Master Tread Trainer

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* 5. Tread Lightly! will market the course but would like your help. How many particpants do you think you could supply for the course.

Tread Trainer (maximum 25)

Master Tread Trainer (maximum 12)

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* 6. Where are you requesting the course (city, state)

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* 7. Do you have access to a classroom. For a Tread Trainer course the class needs to comfortably seat 27. For a Master Tread Trainer course the classroom needs to comfortably seat 17.

Yes

If yes please describe the classroom, if there is cost involved, if there would be a challenge having food there and any thing else you can think of.

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* 8. Please provide three dates (month/day), by preference, on which you would like to hold a course. Course logistics and planning require at least 3 months time from request date.

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* 9. What is your top area of interest

ATV Riding

Backcountry Snowsports (Snowshoe, Backcountry Skiing)

Camping

Dirt Biking

Fishing

Four Wheeling

Geocaching

Hiking

Horseback Riding

Hunting

Hunting w/ ATV

Mountain Biking

Motorized Boating

Personal Watercraft

Sand Duning

Shooting Sports

Snowmobiling

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* 1. Today's Date

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* 2. Please fill out the following information.

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* 3. Are you a member of a club or organization?

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* 4. What type of course are you requesting

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* 5. Tread Lightly! will market the course but would like your help. How many particpants do you think you could supply for the course.

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* 6. Where are you requesting the course (city, state)

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* 7. Do you have access to a classroom. For a Tread Trainer course the class needs to comfortably seat 27. For a Master Tread Trainer course the classroom needs to comfortably seat 17.

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* 8. Please provide three dates (month/day), by preference, on which you would like to hold a course. Course logistics and planning require at least 3 months time from request date.

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* 9. What is your top area of interest

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* 10. Please add any questions or comments here.