2017 APPLICATION!

Cross Country University Running Camp (XCU Camp) is open to all beginning and experienced runners entering grades 9-12 in September 2017.  The cost is $485.   Athletes attending as a team (6 or more runners from the same school) will be reduced to $460.  You will receive the $25 back at check-in.  A nonrefundable $100 deposit reserves your spot at the camp.  Balance is due by August 1st along with the medical release form.  Space is limited so register early.     Final deadline is August 1st, 2017.        (Contact us if you cannot meet this deadline)

Send completed application along with the $100 deposit check to:

XCU Running Camp 

287 Old Deal Rd, Eatontown, NJ 07724

Make check payable to:  XCU Running Camp.

Camper’s Name: _______________________________________________

High School:_________________________________________________

Address: ______________________________________________

City: ________________________ State: _____  Zip Code: _______

Name of parent/guardian: _________________________________

Home telephone: _________________ Parent’s work phone: __________________

Camper’s email address: ___________________________________

Parent’s email address: ____________________________________

Date of birth: ___________  School grade (fall 2017) ______  Circle:   Male  / Female

Best times: 800 ______ 1600 ______ 3200 _______    XC 5k _________

Course best XC time was run on: ____________________________________

Rommate request: ____________________ School attends:_________________

T-shirt size: (circle one)                Small                      Medium                 Large

Parent signature: _______________________________________

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