| 20% OFF all
registrations postmarked by May 5, 2001 10% OFF all registrations postmarked by June, 2001 |
| Please print and complete the form below |
| Complete one registration form for each member of your family. Make a photocopy if necessary. |
| Name_____________________________________________ |
| Mailing Address__________________________________ |
| _________________________________________________ |
| City_____________________________________________ |
| State____________________Zip______________________ |
| Age______________________Email___________________ |
| (H)Phone________________(W)Phone_________________ |
| Cell Phone_______________________________________ |
| Physical Address_________________________________ |
| _________________________________________________ |
| _________________________________________________ |
| Parent signature if under 18_________________________ |
| Signature________________________________________ |
| Emergency Contact________________________________ |
| Phone____________________________________________ |
| Enclosed is my check made payable to Vail Mountain Bike Camps, Inc. for $_______________. |
| I will attend the following session(s): |
| _______________________________ |
| Health Insurance Provider_________________________________ |
| Card Number______________________________________ |
| Registration must be received three days prior to camp. No refunds within 72 hours. No day of camp registration. No rider will be permitted to participate without proof of valid health insurance. |