Click on a form below to download the PDF.

Background Check Form

2019 Summer Schedule (For REACH Participants Only) 

REACH Mentor Handbook

REACH Mentee Parent Handbook

Donation Form

Facilitator Referral Form Release

Agreement for Assumption of Risk (High Risk Activity)

Incident/Injury Form

Prospective Board Member Packet

Instructions on signing up for alerts

Agreement for Assumption of Risk – Used for Mentees, Mentors, and SOS Members.

UWS Forms ~ Ropes Course

Agreement for Assumption of Risk SCRC

Health History Form 2019

White Water Rafting Forms ~ Swiftwater Adventures

Swiftwater Adventures Liability Waiver

Swiftwater Adventures Medical Info Form

Community Resources:

Cloquet Public Library:
320 14th Street,
Cloquet MN 55720 • 218.879.1531
Hours: Monday, Tuesday, Wednesday, Thursday: 9:30am-7:30pm
Friday9:30am-5:30 pm
Saturdays (Saturday after Labor Day to Saturday before Memorial Day): 9:30am-2 pm

Drug & Alcohol

Alcohol Rehab Guide
Alcohol Rehab Guide is an organization that provides comprehensive, reliable information on the various aspects of alcohol abuse and addiction. We offer support and guidance for those who are struggling, as well as their parents, family members, friends, and community members. The World Health Organization estimated that approximately 3.3 million people die each year from alcohol abuse. Our goal is to provide helpful information to as many people as possible on alcohol abuse, addiction, and recovery options. 
A free web resource that provides information about addiction and mental health issues
Samantha Litten
Outreach Specialist

Rehab Spot
This site is focused on educating people on substance abuse treatment. The scariest thing is the unknown when it comes to the rehab process. We are focused on educating people on the whole treatment process: from selection, to what you can expect during treatment, to entering back into a healthy and more fulfilling life after the program ends.

Drug and Alcohol Addiction & Treatment 
To further help those challenged by drug and alcohol addiction.
These pages would provide pertinent information related to drug and alcohol abuse treatment in Cloquet, MN.
Reflections Recovery Center
Alcohol abuse is perhaps the oldest type of addiction. Even though newer types of drugs and addictions are making headlines, alcohol continues to be the most commonly abused substance. However, with the long history of abuse comes a long track record of successful treatment practices.
Addition Center
Our web guide, connects individuals struggling with addiction to treatment options, as well as providing valuable information about substance dependency. Our goal is to prevent substance abuse and provide support for families and communities struggling with these issues. We provide detailed information regarding young people and families, in hopes of preventing adolescent drug abuse and causing long-term cognitive and behavioral effects.
We have created a teenage drug abuse informational guide that would be a great resource to children and families. If you have any questions, feel free to reach out!

Addiction and Sleep Deprivation
Addiction and sleep share a problematic bidirectional relationship, where each influences the other. Many people treat sleep problems with drugs and alcohol, which can lead to addiction. People who are already addicted to drugs and alcohol undergo changes in their sleep architecture and sleep needs, forcing them to increasingly rely on their addiction in order to sleep. Once in recovery, one of the main reasons many people relapse is the discomfort and insomnia they experience, compounded by the long period of time it takes for the body to adjust back to normal sleep without drugs and alcohol.
In this guide we’ll explore the common sleep disorders associated with addiction, the cyclical relationship between addiction and sleep, and suggested resources and strategies for managing sleep during recovery.

The connection between addiction and sleep

Addiction and Sleep

The relationship between sleep and addiction
How do various substance addictions upset the body’s brain chemistry and disrupt the natural sleep rhythm? The answers vary. Each substance type has different characteristics, and affects an addicted person’s sleep in various ways. Sleep Help is a site devoted to spreading awareness of sleep health and wellness. Since many addicts in recovery will experience sleep problems like insomnia and fatigue, we put a guide together about how to deal with these issues without returning to substance abuse or resorting to habit-forming sedatives to get to sleep.

How To Prevent High School Students From Experimenting With Drugs And Alcohol
A troubling fact about teens’ experimentation with substances is that this early use can foster long-term use and addiction. For this reason, taking measures for early prevention are the key to deterring and reversing this ongoing trend. This guide would greatly benefit not only for students but for parents as well.
Please feel free to share this on your website or social media accounts for parents and other educators to use as a resource.

Tuck – Advancing Better Sleep
Our primary mission at Tuck is promoting sleep health awareness, and as part of that, we’ve created guides about the impact addictive substances can have on your ability to fall asleep and reach the restorative stages of deep sleep needed to live a healthy life.
You can read our work here:
Periodic Table of Drugs
Guide to Opiate and Heroin Withdrawal
Find a Local Treatment Center Near You
Our Find A Center Near You technology uses the location of  your computer, tablet, or cell phone to generate a listing of all the addiction treatment centers in your community. is a community based public benefit website connecting people to the addiction resources they need. The resource is free to the public. We do not own or profit from any of the treatment centers listed in your community. Here is the link to our local treatment center locator:  Watch For The Allow Location Services Pop-Up
Addiction Resource is a dedicated organization that works to better the community through volunteering and health awareness: Addiction Resource, which raises awareness of the dangers of addiction and helps local communities stay drug-free ( It also has a great summary of the best rehabs in Minnesota (
The organizations are already used as a resource by the state sites of Wisconsin, New Jersey, Ohio and the Universities of Connecticut and Michigan.

Resources for Single Mothers:
A site that helps financially disadvantaged families with finding assistance programs. The directory lists assistance programs that help with utility, energy, mortgage, rent, medication, education and medical bills.

Raising Children on a Single of Fixed Income” (
In it, you’ll find a breakdown of the costs of raising a child from infancy to adulthood. It also discusses how to build an appropriate budget to support these needs, and lists support systems to help provide aid for families in this situation. This resource is written by, the trusted source of financial data for outlets such as The Wall Street Journal, The New York Times, and CNBC.

Teen Café: Wednesdays @ 3:30 pm 
Snacks, games, crafts for teens; For more information,
call 879-1531 – ask for Brenda

U of M Extension
Carlton County:
Carlton County Extension
PO Box 307
317 Chestnut Avenue
Carlton MN 55718-0307
(218) 384-3511 (phone)

Marna Butler-Fasteland
4-H Program Coordinator
(218) 384-3511 (phone)Renee Kostick
4-H Regional Educator
(218) 232-5174

Cloquet Community Education and Recreation:

Cloquet Community Education:

Communities in Carlton County offer classes and activities through local Community Education






Moose Lake218-485-0476


Pheasants Forever Youth Program:

Bike Trails

Willard Munger State Trail

Jay Cooke State Park

Phone:  (218) 384-4610

Legal Aid:

Provides legal services for individuals over 60 years old or individuals with low income.




Carlton County Sexual & Domestic Abuse Program:

Available 24-hours a day. Provides information on support groups and help for victims of domestic and sexual abuse.




Domestic Abuse Project:


1-218-348-1817 Crisis Line


Carlton Youth Shelter:


Carlton County Communities Restorative Justice Program:

Carlton County Communities Restorative Justice Program

15 N. 11th Street
Cloquet, MN 55720


Carlton County Public Health & Human Services:

Public Health Department


Carlton County Financial & Health Care Assistance:


Family Social Services:

Carlton County Collaborative:

(218) 879-4511


Just Kids Dental

1313 Fairgrounds Rd.

PO Box 146

Two Harbors, MN 55616


Moose Lake Food Shelf
Basement of Joe Jitters Building
PO Box 128
Moose Lake, MN 55767

Human Development Center
Outreach Center
40 11th St
Cloquet, MN 55720

Tri-Community Food Shelf
5597 Hwy 210
Cromwell, MN 55726

Volunteer Attorney Program
314 W Superior St
Suite 1000
Duluth, MN 55802

WINDOW Victim Services
116 Ave. C
Cloquet, MN 55720

Canvas Health:

Carlton County Thrift Stores:

Clothing Depot

Hwy 73 North

(R-Tech Insulation Building)



Good Will Industries

1102 Cloquet Ave

Cloquet, MN, 55720

(218) 879-1944


Salvation Army Thrift Store

316 Carlton Ave

Cloquet, MN, 55720

(218) 879-5447

Second Hand Store

917 Cloquet Ave

Cloquet, MN, 55720

(218) 878-1186


Sonshine Closet

620 Folz Blvd

Moose Lake, MN, 55767

(218) 485-5758


Sunshine Closet Furniture

Industrial Street

Moose Lake, MN, 55767


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