Fall Camp Registration Form

2010 Oregon Fall Ski Camp

Please print this form out and send along with check/money order deposit to the address listed below.  Due to the very small size of this camp we are unable to take payment by credit card.


LAST NAME ______________________________________________ FIRST ______________________
ADDRESS ________________________________________________________________ PHONE___________________________________
CITY _____________________________________ STATE _____ ZIP __________________ YEAR OF BIRTH _________
EMAIL ADDRESS (print clearly please)!____________________________________________________________________
Person to contact in case of emergency, phone number: _____________________________________________

Check if you are a current 10/11 AXCS member eligible for a $10 discount. _____

SELECT CAMP FORMAT (select one)

_______ FIVE DAY CAMP PACKAGE — Cost: $285.00US
($100 deposit required, trail fees may add to this amount, see terms/conditions below)

Which dates would you like to attend? (also list technique preference, CL or FS)
__________________________________________________________________________________.

For lab test scheduling, by what day & time are you certain to arrive in Bend?
__________________________________________________________________________________.
Note: If you do NOT wish to lab test, write “no test” here.

_______ FOUR DAY CAMP PACKAGE — Cost: $230.00US
($100 deposit required, trail fees may add to this amount, see terms/conditions below)

Which dates would you like to attend? (also list technique preference, CL or FS)
__________________________________________________________________________________.

For lab test scheduling, by what day & time are you certain to arrive in Bend?
__________________________________________________________________________________.
Note: If you do NOT wish to lab test, write “no test” here.

_______ THREE DAY CAMP PACKAGE — Cost: $175.00US
($100 deposit required, trail fees may add to this amount, see terms/conditions below)

Which dates would you like to attend? (also list technique preference, CL or FS)
__________________________________________________________________________________.

For lab test scheduling, by what day & time are you certain to arrive in Bend?
__________________________________________________________________________________.
Note: If you do NOT wish to lab test, write “no test” here.

_______ ONE OR TWO DAY CAMPS — Cost: $60.00US per day
($60 deposit required, trail fees may add to this amount, see terms/conditions below)

Which dates would you like to attend? (also list technique preference, CL or FS)
__________________________________________________________________________________.

For lab test scheduling, by what day & time are you certain to arrive in Bend?
__________________________________________________________________________________.
Note: If you do NOT wish to lab test, write “no test” here.

Mail deposit check/money order payable to Cross Country Ski World:
Cross Country Ski World
55 SW Gleneagles Way
Bend, Oregon 97702

For more info…email: jd@xcoregon.org or call: (541) 317-0217

Terms and Conditions (Important: Please Read!)
Fall Camp formats do not include food, lodging, or ground/air transportation. Prices listed on this form also DO NOT include trail fees. The Fall Camp will determine by November whether trail fees will included in final registration balances or paid individually by skiers. Skiers with a season pass at Mt Bachelor will receive a discount.

Deposit Policy: Oregon Fall Camp deposits are 85% refundable up until 5pm PST, October 31. After that date, all deposits are non-refundable for any reason (including illness, injury, personal circumstances, etc.). The only exception will be if the camp is 100% sold out for your camp dates and we are able to secure a fully-paid replacement for your slot. “Sell out” is defined by coach availability on any given day of the camp. Signature on a liability waiver is required at check-in or first camp session along with full balance payment (cash, check or money order).



The Center

Therapeutic Associates

AeroMech Incorporated

Mt. Bachelor



Mount Bachelor Ski Education Foundation RaceCenter Northwest

WebSkis

Sunnyside Sports

Foot Zone of Bend