Development Camp Information & Registration Forms NorCal High School Cycling League 143 Kentucky Street Petaluma, CA 94952 (925) 768-5180 www.norcalmtb.org Late fee applies for forms post-marked within 15 days of the camp. Come and join us for an amazing camp in the historic Mendocino Woodlands. Majestic redwoods and some of the most beautiful single track in NORTHERN CA surround the camp. Your student-athletes will sleep in tent cabins and enjoy delicious meals and nightly campfires after a full day of riding and learning. This camp is all about having as much fun as possible while expanding the skills, knowledge and experience level of our riders. Our objective is to further develop a passion for the sport of mountain biking in order to create a lifelong commitment to a lifestyle that leads to a healthy body and mind. We will have the best of the best in all categories to make our objectives a reality; from professional coaches, riders, cooks, nutritionists, sports psychologists and fun junkies, we are drawing from our deepest resources so that all who attend can be assured of having an unforgettable experience that will be etched into their memory for decades to come! This is a vigorous camp and is only open to student-athletes who have raced in the NorCal League for a full season. Camp Dates Location Intermediate/Advanced Coed June 25-30, 2018 Mendocino Woodlands Mendocino, CA To sign-up: Fill out, sign, and mail in all forms in this packet. Camps fill up so be sure to register early! Fee: $900.00 ($10 late fee applies if postmarked within 15 days of camp). Fees Include: Breakfast, lunch, snacks and dinner. What to do before camp and things to bring: See website to download checklist. Directions to your camp: See website to download maps and directions. Please contact Robert Ramirez, Camp Director, @ robert@norcalmtb.org with any questions.
DEVELOPMENT CAMP REGISTRATION FORM Reg. Deadline: Late fee of $10 applies for registration postmarked within 15 days of camp. Name: Age: School: Address: City: State: Zip: Parent's Name: Phone: (H) (C) Student E-mail: Parent E-mail: Do you have any special dietary restrictions, food allergies, or are you vegetarian? List three things you look forward to learning from the camp: 1. 2. 3. Mountain Biking Experience (check on Intermediate (2 nd year racing) Intermediate/Advanced (3 rd or 4 th year racing) Payment Credit Card ($200 payment to hold a spot) Credit Card ($900 payment) Check Applying for Scholarship (Scholarship form must be filled out ASAP) Total Payment We are including the following required items: o Registration Form o Medical Release Form o Media Release Form o A check payable to: NorCal High School Cycling League o Pay by credit card: Please contact Erica@norcalmtb.org Mail to: NorCal High School Cycling League 143 Kentucky Street Petaluma, CA 94952
Medical Release Form To be filled out by the parent/legal guardian and returned to the NorCal League. Please read and check off the following, fill in and sign where indicated. I, have registered my son/daughter for a NorCal High School Cycling League Camp. Please check all that apply: My son/daughter is in good physical and mental health and is able to participate fully in the NorCal High School Cycling League Camp. She/he has NO medical conditions. My son/daughter has the following medical condition(s). (Please provide more information on the back of this sheet if necessary). My son/daughter has asthma and will have an inhaler with him/her at camp. Please provide more information if necessary: My son/daughter is on the following prescription medications. Please indicate if she/he is or is not able to self-administer these medications while at camp, if applicable. I authorize the League s staff to give my child Ibuprofen in the event she/he needs it. Please complete the following emergency contact information: Emergency Contact #1: Tel No. Emergency Contact #2: Tel No. On this form I have provided comprehensive and accurate medical information about my son/daughter to the NorCal High School Cycling League. If the League is not able to reach myself or the emergency contacts I have provided, I authorize the NorCal High School Cycling League s staff to drive my son/daughter to the nearest emergency room to receive emergency medical treatment. Sign here Print name Date
Media/Photo Release Form To be filled out by the legal parent/guardian and returned to the League. Please read and complete the information below. I, have registered my son/daughter for a NorCal High School Cycling League Camp. Please check the appropriate line below. YES, I give my permission for the NorCal High School Cycling League and outside media agents (newspapers, television, etc.) to take photographs, video, and otherwise document my child involved in the activities of this program. I give permission for any photographs or video material of my child to be used in publicity about the program and organization (website, promotional materials, newspaper/magazine articles, etc.) NO, I do not give my permission for the NorCal High School Cycling League and outside media agents (newspapers, television, etc.) to take photographs, video, and otherwise document my child involved in the activities of this program. I do not give permission for any photographs or video material of my child to be used in publicity about the program and organization (website, promotional materials, newspaper/magazine articles, etc.) Sign here Print name Date
CHECK LIST OF THINGS TO DO AND THINGS TO BRING What to do before the camp: o Be active. Ride your bike if you can! o Get registered for camp. o Get plenty of rest the week before you come to camp The following is a guideline for what to bring to camp: Mountain bike in working condition TUNED and ready to go! If you have it, cell phone for keeping in touch with your sponsors at home; if you don t have a cell you will be able to use another phone to call home. Any prescriptions: please discuss with Robert upon check-in 4 tubes, patch kit, pump or inflator (extra tires will be provided in the event of an emergency). water bottles (2) or hydration pack, energy bars multi-tool 7 pairs underwear, 8 pairs socks 6 t-shirts 3 pairs riding shorts (Bring as much bike clothing as you have; we will not be able to do laundry during the week: we are riding every morning and afternoon) 4 riding jerseys, Short Sleeved 2 riding jerseys, Long Sleeved 1 riding jacket 1 wind or rain jacket tights or leg warmers and arm warmers riding gloves helmet (mandatory), riding glasses 1 pair jeans, 2 pair shorts 1 pair gym shorts sweatshirt / sweatpants / pajamas warm jacket (thick fleece or down jacket recommended)
baseball cap/ warm beanie toiletry kit including simple first aid items Flashlight or headlamp (very important) Warm Sleeping bag and towel Pillow Bathing suit Chapstick Sunscreen Mosquito repellent (very important) earplugs for sleeping (if necessary) spiral notebook and pen Musical instruments for campfire (no drum sets or amplified guitars allowed!) Fuzzy slippers or Uggs just kidding, but really, they might be kinda nice Positive attitude The weather can range from 35 degrees with rain to 85 degrees and sunny, so be prepared for anything. If you have any questions, please contact Camp Director Robert Ramirez at robert@norcalmtb.org