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Eagle Bluff Chaperone Form

Chaperones Needed! Please complete this form if you are interested.

(Chaperones need to complete a criminal background check and medical form.)

Chaperones help make sure students are supervised and safe at all times. They teach evening activities and assist with student safety during such classes as Tree Tops High Ropes and Rock Climbing. Chaperones also lead a group of 7 same-gender students, making sure they are safe and supervised in the dorm. We have an information guide for chaperones to help you prepare.


A red asterisk (*) indicates required questions.

  1. Your name:*


  1. Your child's name:*


  1. Your phone:


  1. Your email:


  1. I am interested in chaperoning the following dates at Eagle Bluff: *
    Monday, Nov2 through Wednesday, Nov 4
    Monday, Nov 2, afternnoon & overnight
    Tuesday, Nov 3 all day and overnight through Wednesday, Nov 4


  1. Do you have any questions for us?





Mike, Kristi and Mr. Odermatt
Susan Lindgren Intermediate School
MN