Train with Kenyans Running Camp

2018 CAMP APPLICATION FORM
TRAIN WITH KENYANS, LLC
191 Rocky Hollow Road
Atkins, VA 24311
Fax: 888-906-3371
E-mail: info@trainwithkenyans.com

Print these pages fax, email or mail it to the above address. Thank you.

1. All areas of this form must be COMPLETED and SIGNED by Parent/Guardian and returned to The Train with Kenyans, LLC with a COPY of your medical insurance card (front and back). Your application is not complete without your insurance card and parental authorization. Campers are responsible for any and all medical expense incurred during camp.
2. Send this form with a $50 deposit to reserve your space. The $50 deposit to reserve your space is NON-REFUNDABLE for any reason. Substitutes are allowed. If you pay in full and cannot attend camp for medical reasons, you are entitled to a refund minus the deposit. Refund checks will only be written after August 15th.
3. Final payment is due on or before July 16th, 2018 if paying with personal check. Cash, money orders and certified checks are accepted at registration.
4. Make Checks payable to Train with Kenyans, LLC and mail to above address. NO PERSONAL CHECKS WILL BE ACCEPTED AFTER July 14th. We accept certified checks, money orders, or cash at registration.
Please print legibly using ink. Confirmations will be sent through your e-mail once your deposit is received (don’t forget to put down your e-mail address).
Select One:           
_______Campers $200.00*
_______Returning Camper $150*
_______Commuters Camper $150.00*
_______Returning Commuter $150.00*
_______Non-participant Adults (i.e. chaperons, spouses) $150.00*
_______Non-participant Children (of staff/coaches) $150.00
_______Team Campers *(team of seven or more), $150 per person

10% of your camp fee is tax deductible!