Please print this page and bring it with you to camp.

In consideration of my application being accepted, I hereby release the City of Colorado Springs, the Colorado Springs Free Cross Country Camp Organizers and all municipal agencies whose property and/or personnel are used, and other sponsoring or co-sponsoring companies or individuals from responsibility for any injuries or damages I may suffer as a result of my participation in Colorado Springs Free Cross Country Camp. I hereby certify that I am in good physical and mental condition and am able to safely compete in this event. I hereby consent to receive emergency medical treatment, at my own expense, which may be deemed necessary in the event of injury, accident or illness during this event. I will additionally permit the use of my name and pictures in broadcasts, telecasts, newspapers, brochures, etc. As a participating athlete, I certify that all information provided in this form to be true and complete. I have read the entry information provided for the event and certify my compliance by my signature on the registration form.

Name (printed):___________________________________________________

Age:__________ Male:______ Female:________

School or Team:___________________________________________________


Telephone number:________________________________________________

Who to contact in case of an emergency:________________________________

Telephone number:_________________________________________________


Signed by parent if under 18:__________________________________________

Colorado Springs FREE Cross Country Camp Registration Form and Waiver