Camp Registration

Name	________________________	Email	________________________
Address	________________________	Phone (H)	________________________
City	________________________	Phone (C)	________________________
Zip	____________	Birth Date	________________________
School/Grad Year	________________________

Parents Release and Indemnity Agreement.

We/I hereby request you accept the athlete application for enrollment in the Colorado Juniors Camps/Clinic Program 2012 as checked above. In consideration of your acceptance of this application, we/I hereby agree to release, indemnify and hold harmless the ACES facility, the coaching staff and group employees from all claims resulting from any injury sustained by my child while traveling and participating in the sessions. We/I further hereby give permission to coaches, training staff or other medical professionals to provide care as deemed necessary to my child in case of injury or illness.

____________________________________________
Parent/Legal Guardian and Date

Send full payment with registration check payable to:
Colorado Juniors
2348 Elite Terrace
Colorado Springs, CO 80920

REFUND policy is:
Full refund ONLY if session is full and wait list athletes accepts opening
NO refund if spot cannot be filled by another athlete