ROCKY MOUNTAIN CRIMSON TEAM CAMP WESTERN STATE COLORADO UNIVERSITY, GUNNISON CO

 

Buhler Crusader Wrestlers,  This summer we will be attending the Rocky Mountain Crimson Team Camp in Gunnison, CO on June 12‐16.  If you are planning on wrestling varsity next year, or if you’d just like to improve as a wrestler, you should make plans to attend this camp.  We will be departing for the camp on Wednesday, June 11 at 4:00 PM and should arrive home Monday night around midnight.  The camp fee is $285 ($305 if registered late).  A nonrefundable deposit of $100 is due with the registration, with the balance due upon arrival at camp.  There will not be any charge for transportation or overnight lodging (our fundraising will be used to cover these fees), but there will be a fee for the white water rafting (I estimate about $45).   Complete the camp application and get it to Coach Zeyen or Coach Briggs, with the $100 deposit, on or before March 21.  You can also mail the form and deposit to me at: 

Mike Juby 7208 Magnolia Way Hutchinson KS 67502 

2014Rocky Mountain Wrestling Camps Registration FormCHECK ONE: □ TECHNIQUE CAMP □ MIDDLE SCHOOL TEAM CAMP □ CRIMSON TEAM CAMP □ SLATE TEAM CAMP Ages 9-18; June 8-11; SUN-WED 6th-8th Grade; June 8-11; SUN-WED 8th-12 Grade; June 12-16; THURS-MON 8th-12th Grade; June 17-21; TUES-SAT

PRICES - CHECK ONE:□ CAMPER Technique and Middle School - $235 Includes lodging and meals

□ CAMPER HS Team Camps - $305 Includes lodging and meals

□ COACH - $175 ($155 Technique & MS camp) Includes lodging and meals

□ COMMUTER CAMPER - $165 ($135 Technique & MS camp) Lodging and meals NOT included

DEPOSIT $ Enclosed($100 minimum deposit required)

ENROLLMENT DISCOUNTS!*Early Enrollment deadline is April 15, 2014□ Early Enrollment - Technique or MS Camper - $215□ Early Enrollment - HS Team Camp Camper - $285□ Mid Sch Camper with same team of 10 or more - $225□ HS Camper with same team of 10 or more - $295□ Camper with 2 or more in same immediate family□ Multiple Camps *Discounts may NOT be combined; EarlyEnrollment discount not available for coaches or commuters.

Make Checks Payable to:Western

Mail to:Miles Van Hee-WesternRocky Mountain Wrestling Camps600 N AdamsGunnison, CO 81231

MAKE IT EASY! Apply online atwww.rockymountainwrestlingcamps.com

Enclosed is a non-refundable $100 reservation deposit. Balance will be paid upon arrival at camp. All deposits must be received no later than May 30, 2014. Anyone sending the deposit after this date may be charged a $50.00 late fee; with special approval this may be waived. Camp cost includes all instruction, room and board, and camp T-Shirt. After receipt of your application, a confirmation letter including specifics on the camp including what to bring will be *EMAILED to you approximately 1 month prior to camp.

PROOF OF INSURANCE BELOW MANDATORY TO ATTEND CAMPIt is MANDATORY that all campers have their own medical insurance and this information below. Please have a parent or guardian sign below validating proof of camper’s personal coverage. NOTE: No one will be allowed to attend camp without this information of Medical Insurance below.

NAME OF INSURANCE COMPANY

POLICY NUMBER

PRINT CARDHOLDER’S NAME

SIGNATURE OF CARDHOLDER DATE

Please describe any medical problems that we may need to be aware of (diabetes, etc.)

ASSUMPTION OF RISK AGREEMENT TO HOLD HARMLESS AND EMERGENCY RELEASE FORM As the parent/legal guardian of the camper (coach*) named here (participant); it is understood that playing or participating in any sport can be a dangerous activity involving MANY RISKS OF INJURY. It is understood that the dangers and risks of playing or practicing to play/participate in wrestling include, but are not limited to, death, serious neck injury or impairment to other aspects of the body, general health and well being. It is understood that the dangers and risks involved with playing or participating in wrestling may result not only in serious injury, but in a serious impairment of one’s future abilities to earn a living, to engage in other business, social and recreational activities, and generally to enjoy life. The following additional activities are engaged in at the Rocky Mountain Wrestling Camps (RMWC). Each participant may be involved in any one of these activities. Each of these activities also has certain inherent risks sinilar to those mentioned above. These activities include but are not limited to: running, hiking, fishing, transportation by vehicle, swimming, basketball, weight lifting, racquetball, softball, frisbee, touch type football, volleyball, and more. White water rafting trips are available to those groups wishing to pursue them from local guides. This is NOT organized or sanctioned by the RMWC. By signing below, the participant and parent/legal guardian hereby assume all risks associated with participation and agree to hold Western State Colorado University, The Rocky Mountain Wrestling Camps (RMWC), RMWC Director and all agents, coaches and volunteers harmless from any and all liability, actions, causes of action, debts, claims, or demands of any kind and heirs, estate, executor, administrator, assignees, and for all members of the family. Additionally, by signing below the participant and parents/legal guardians understand, in the event of an emergency every effort will be made to contact them. However, in the event they cannot be reached, this form hereby gives permission to the physician selected by the RMWC to hospitalize and secure proper treatment (including surgery) for the participant. Moreover, by the parent AND participant signing this form, they are agreeing to abide by all camp rules and reasonable authority of the camp staff and that the participant has been deemed physically able to participate in wrestling and recreational activities by a physician. *Coaches are signing as their own self guardian.

PRINT PARENT/LEGAL GUARDIAN NAME SIGNATURE DATE

PRINT CAMPER NAME Gender (circle one) M F SIGNATURE DATE

EMERGENCY CONTACT:NAME DAY PHONE NIGHT PHONEIMPORTANT! ALL INFORMATION ABOVE: Registration, proof of insurance, assumption of risk--agreement to hold harmless--emergency release form must be COMPLETE AND SIGNED by both the parent/legal guardian AND the participant for the application to be complete or for the participant to participate. Upon receiving a completed application form, the participant will receive a confirmation letter via EMAIL* with more camp details approximately 1 month prior to camp.

Please PRINT LEGIBLY

NAME *EMAIL (for confirmation ltr)

ADDRESS PHONE

CITY STATE ZIP

SCHOOL NOW ATTENDING COACH

AGE WEIGHT Circle T-SHIRT SIZE: YM YL S M L XL XXL XXXL GRADE FALL 2014

FOR RMWC CAMP OFFICE USE ONLY!!

Session Deposit Discount Amt Due Ck/MO