CMC/VA Weekend Program
P. O. BOX 816
WILDER, VT 05088
Phone: (802) 296-6602
Fax: (802) 295-1312
Below are the documents that you will need to register
for the Project CRASH Weekend Program
(NOTE: The forms on this page are for the White River Jct. weekend program only.)
Please open and print the following instructions / forms
- Important Information
- Cover Letter
- Weekend CRASH Intake Questionaire
- Authorization Form
- CRASH Weekend Registration Form
- Physical Exam Form
Please read all information carefully and fill out the necessary forms completely. If you have questions, please contact Quitting Time at (802) 296-6602.
Weekend Crash Schedule at this site
2009 WEEKENDS
- JAN 16-18
- FEB 6-8
- APR 10-12
- MAY 1-3