Camp Registration

2010 Running Camp Registration

Call (802)586-7767, or fill out the form below. After previewing your entries you will have the option of emailing your registration or printing the form and mailing or faxing to:

    Craftsbury Outdoor Center
    535 Lost Nation Rd.
    Craftsbury Common, VT 05827.
    Fax: (802) 586-7768

Note: One form must be submitted for each person applying.

An Adobe Acrobat version of our running camp registration form is also available.
Requires Adobe Acrobat Reader.

Please note, your registration is NOT confirmed for the requested program until we have received your deposit. Please call at your earliest convenience so that we can process your credit card information and reserve your space in the program.

Date
*Today's Date:
Camper Info
*Birthdate:	Mon Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec   Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Gender:	Female   Male
*Name:
*Address Line 1:
Address Line 2:
*City:
*State/Province:
*Zip Code:
*Country:
*Daytime Phone:
	(parent or guardian's phone if camper is under 18)
Home Phone:
Cell Phone:
	(parent or guardian's if phone camper is under 18)
Fax:
*E-mail:
Parent or guardian's e-mail if camper is under 18:
Experience and Clubs
Returnee:	Yes   No
How Many Years?
Vegetarian:	Yes   No
Club:
Will you bring a bike?	Yes   No
*T-Shirt Size:	S   M   L   XL
*T-Shirt Cut:	Women   Men
How you found Craftsbury Running Camps
How did you	hear about the Center?
Program Request
*Program Requested:	Choose Program
	DEPOSIT: A $250 non-refundable deposit is required to hold your reservation. Please call (802)586-7767 or fax (802)586-7768 your credit card information (mastercard or visa). Or send a check to Craftsbury Outdoor Center, 535 Lost Nation Rd., Craftsbury Common, VT 05827. The listed program rates do not include Vermont Meals & Lodging taxes or equipment use taxes. For a complete schedule of program fees and taxes, please contact our main office.
	Program Date Requested Notes:
	Extension Date Request:
	Roommate Request:
	Special Accommodation:
Waiver
	WAIVER: By signing this waiver I hereby release the Craftsbury Outdoor Center, coaches and staff of any and all liability arising from my injury, death or loss of property during this Running camp, realizing Running is an action sport posing significant risks.
	PROGRAM DEPOSITS are non-refundable. Program deposits can be reapplied for one year from their reservation date if we are given a written 14-day cancellation notice. The deposit will be rolled over one time only. A $20 handling charge applies to upgraded reservation changes made prior to 14 days of arrival. Rescheduling your program date within 14 days of your arrival will result in a $100.00 per person rebooking fee. For cancellations within 14 days of arrival, all deposits are forfeited. Changes or cancellations made on your arrival day will result in forfeiture of your deposit.
	DISCOUNTS: The Center may offer discounts or special rates toward a reservation under certain conditions. Only one discount may be applied to a reservation. Discounts must be applied before a reservation ends and the account is settled; discounts may not be applied to reservations retroactively.
	SIGNATURE: Type full name below to accept waiver and cancellation policy: (Parent must accept if under 18.)
*Waiver:	I accept waiver and cancellation policy
Type full name	(parent or guardian's name if camper is under 18):
*
* indicates Required Field   Please e-mail your program request if you are having problems using this form.