Colorado Fall Camp: TBA
At Arapahoe Basin and Loveland

Included: Transportation to and from the Salzburg Airport, lodging, coaching fee, meals at camp, (excursion days meals not included), equipment fee, training with real race go-carts, bus fares, lift pass,and New Mexico gross receipts tax.  Roundtrip Airfare to Austria is not included. Information with a * is required.

Yes, I am interested in the Summer Camp No

Yes, I am interested in the A Touch of History Camp  No

Yes, I am interested in the 2006 Fall Colorado Ski Camp - Dates TBD  No

*Name of Camper
*Address:
*City:
*State:		*Zip:
Day Phone:
Cell Phone:
*Evening Phone
Fax Number
*E-Mail:
*Age		Date of Birth
*Sex:	Male Female
*Yrs. Racing:		*Yrs. Skiing:
Passport #
*Parent or Guardian
Medical Information & Release
Insurance Co.
Policy Number
*Family Physician
*Phone:
*Allergies	No  Yes  If yes, explain:
*Currently Taking Medication:	No  Yes  If yes, explain:
*Date of last Tetanus shot:
*Emergency Phone:	Day:
	Evening:

I, the undersigned, give the personnel of A Touch of Austria Ski Camp permission to obtain medical aid for my son or daughter in case of illness or injury. They also have my permission to charge any medical costs incurred to my MasterCard or VISA credit card. It is understood that every effort will be made to contact me if medical attention becomes necessary.

 Please provide your credit card information for medical emergencies only: 

	BILLING
Credit Card	VISA MasterCard
Cardholder Name
Card Number
Expiration Date
Release and Assumption of Risk
All participants should be covered by their own insurance policy. It is understood that A Touch of Austria Ski Camp does not provide medical insurance covering sickness or injuries of any nature for the A Touch of Austria Ski Camp dates. The undersigned hereby releases A Touch of Austria Ski Camp, their successors, assigns, officers, agents and employees from any and all claims, demands and causes of action whatsoever in any way growing out of or resulting from the participation in the A Touch of Austria Ski Camp. Photos taken of me or my child at the A Touch of Austria Ski Camp may be used for promotional and advertising purposes.