Carpenter/Phinney Bike Camp

Registration

If you'd like to join us on one of our adventures, please fill out the form below and submit it. Be sure to indicate whether you'll be paying your deposit by sending a check in the mail or by calling with your credit card information. If you have ANY questions, please contact Mary Rachel at 303-442-2371.

Please note that your registration is not complete until you have been contacted by our staff; please do not make air arrangements until you speak with us and your registration is confirmed.

Name:
Address:
City:
State:
Zip:
Country:
Daytime Phone:
Cell Phone:
E-mail:

Please be sure to choose a 2010 camp:
	Heart of the Dolomites (June 26 - July 4, 2010)
	Private Camp

Deposit is $750. Payment and Cancellation Policy I understand that my deposit is nonrefundable. Full payment is due 90 days prior to trip start. Refund of 50% will be refunded, less deposit if cancellation is received within 45-90 days of trip start. Within 45 days, no refund will be granted. IF space is available, you may transfer your deposit to another Camp in the same year. IF we (Bike Camp) have to cancel a camp for any reason, we will refund you the full amount including your deposit within 30 days of trip cancel. We cannot however be responsible for expenses incurred with airline tickets. We strongly suggest that you buy trip cancellation insurance! Find a plan that works for you: www.insuremytrip.com
	I have read, I understand and I agree to the Payment and Cancellation Policy by clicking on this button.

Liability Release Agreement In consideration of the approval of Participant's admission to the 2010 Carpenter/Phinney Bike Camps, also known as C/P bike camps, and bikecamp.com, and associated activities, the undersigned agree to the following: Definition and Representations. Definition and Representations. "Activities" as the term issued in this Agreement, include: Bicycle riding, racing, training, classes and related activities or excursions, transportation in Camp support vehicles, spectating, attending lectures and other events related to Bike Camp. The undersigned represent that they are fully aware of the risks of the Activities. The undersigned represent that they are aware that they should consult a physician regarding Participant's participation in the Camp and that participation has been approved by such physician if one has been consulted. Risks include without limitation, cars, road and trail conditions, health conditions, weather, equipment failure, driver error, rider error, and many other reasons included in the "Think. Safety First." document included in the website and recommended reading for all participants, including both riding and non-riding guests (paying clients & guests) of bike camp. Assumption of Risk. The undersigned hereby assumes all risk of participation in the Activities including without limitation those listed above, whether such risks are caused by negligence of any person or otherwise. Waiver, Release, Discharge, Agreement Not to Sue. The undersigned hereby fully release, waive claims against, discharge and agree not to sue, Carpenter/Phinney Bike Camp Inc, bikecamp.com, Davis Phinney, Connie Carpenter, camp speakers, ride leaders, coaches, camp sponsors, special guests, directors, agents, employees, independent contractors, representatives of each, from any and all liability to the undersigned, their personal representative, heirs, assigns for any and all damage, injury or death of Participant, while the Participant is engaged in the Activities, whether caused by carelessness or negligence of the Camp, directors, sponsors, staff or guests of bike camp. Additionally, client assumes full responsibility for his/her bike during the Camp. Indemnify and Hold Harmless. The undersigned Participant, and the parents of Participant, hereby agree to indemnify and hold harmless Carpenter/Phinney Bike Camp Inc, bikecamp.com, Davis Phinney, Connie Carpenter, camp speakers, ride leaders, coaches, camp sponsors, directors, agents, employees, independent contractors, representatives of each from any loss, liability or damage, including attorney's fees incurred from any suit, demand or legal action arising out of any alleged injury, damage or death resulting from Participant's engagement in all Activities, whether such injury, damage, death is alleged to or did result from the negligence of any person. Medical Care. Although the undersigned acknowledge that there is no obligation of any person to provide participants with medical care during or after the Activities, in the event that emergency medical care is rendered to Participant, the undersigned hereby consent to such care. Paragraphs 2 through 4 apply to such medical care as part of the Activities. Equipment. The undersigned Participant may at times borrow or rent Bike Camp equipment, at his own risk. The undersigned is responsible for his equipment & all belongings during Camp, whether lost, stolen or damaged. Insurance is recommended. Use of Photographs, recording, depiction. The undersigned agrees to grant permission to C/P Bike Camps Inc to utilize their likeness on the website, in videos, and in written materials. Interpretation. This document is intended to be as broad and inclusive as is permitted by the laws of the State of Colorado. If any portion of it is held invalid, it is agreed that the balance shall continue to be in full force and effect. It is agreed that the laws of the State of Colorado shall govern this Agreement.
	I have read this liability waiver fully, understand that it is legally binding, and accept the terms freely and voluntarily by clicking this button.

Payment Method:
	I am mailing a deposit check to: Bike Camp, PO Box 20941, Boulder, CO 80308 USA.
	I will call 303-442-2371 to pay by credit card.

Emergency Contact During Bike Camp:
Name:
Relation to you:
Phone:
Alternate Phone:

Cycling Background/Camp Questionnaire:
	Have you attended Bike Camp before?
	Yes No
If yes, when?
Birth Date:
Height:
Weight:
Unisex t-shirt size:
Bike jersey (unisex) size:
Experience Level:
Fitness Level:
Describe your fitness:
What type of bike do you ride?
How often do you train in a group?
Weekly summer mileage:
Average training speed:
Goals for camp:
Food allergies or dietary concerns:
Medical concerns we should be aware of:
Comments:

NOTE: Please bring a copy of your insurance card with you to camp, as well as a copy of any trip insurance you have taken and/or medical evacuation insurance. We also require a copy of your passport.

Think. Safety First.
Please download a copy of our Safety First PDF. This document is required reading for anyone who wants to take part in the Bike Camp experience. You will need Adobe Acrobat Reader to view and print these forms; if you don't already have it, you can download Acrobat free of charge.