Generation Wild Kit Request II

Generation Wild Kit Request Form
Generation Wild is distributing free "Take Your Brain Out" kits for partner organizations to share with Colorado kids.

What’s included in the kit:
- Checklist Handouts: 100 Things to Do Outside Before You’re 12
- Fun Extras: Stickers and a local artist poster series
That's it. No strings attached.

To sign up, please complete the form below.

Quantities are limited and will be assigned on a first-come, first-served basis.

Registration will close on April 30, 2026.
Organization Name*
MedicalEducationGeneration Wild PartnerOther
Your Name*

First NameLast Name
Your Email Address*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number (for shipping purposes only)*
Please enter a valid phone number.Format: (000) 000-0000.
50100150200Other
YesNo
Thank you! If you have a moment, please briefly share why you’re interested in these free kits to help get kids outdoors.
Should be Empty:

Generation Wild Kit Request Form