2018 MOTO CAMP Registration Form Page 1 of 5 MOTO CAMP Bike Week (Bikes Only) (5) Days and (5) Nights Mon-Tue-Wed-Thur & Friday August 13 th, 14 th, 15 th, 16 and 17 th. Sign in For Camp is Sunday August 12 th after 6pm. Camp is over Friday and pickup is between 3 and 5pm. Moto Camp Bike Week is a 5 day camp focusing on Motocross Racing Skills taught by Pro Trainers and Racers. Riding skills will be tested and evaluated on the first and last day of camp. All aspects of Motocross Training will be covered. Riders can expect a lot of training time and open riding time on all tracks. We will have a fun schedule of activities including a swimming cook out, trail rides, a guest speaker and awards for personal accomplishments. Cost of MOTO CAMP 5 day 5 night camp staying in our comfortable 2 story cabins Includes all Meals Served in Dining Hall, Snacks in the evening, Water during training, Cleaning supplies and Lube for bike: $1,000. Discount for staying in your camper or hotel - $100. No Charge For primitive Camp Site / Hook up sites are $40 per nite & must be reserved - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - There will be no rain or weather cancellations, camp will proceed rain or shine. Although no refunds will be given for equipment failure, we will do what we can to help riders keep their machines in working order. It is ultimately your responsibility to have a good working machine for your camp week. There will be an outside mechanic on duty at the park during camp week. Reasonable Service Rates Apply.
Page 2 of 5 Campers Name: Age: Address: Phone Number: Male / Female Number on your Machine Parent or Guardian (Only necessary if rider is under the age of 18) Name: Your T-Shirt Size: Parents Home Number: Cell: Emergency Contact other then Parent: Emergency Contact phone: Cell: In order for us to create the best program possible for all attending campers there is information we will need you to provide us with prior to attending camp. Machine you will be attending camp with: Make Model Size Will you have more then one machine with you, if so what? Do you perform your own maintenance on your machine: Air Filter cleaning: Oil Changes: Chain Adjustments: Valve Adjustments: Would you benefit from and like to have a seminar at camp on Maintenance? Yes or No
Do you do your own Service on your machine: Sprocket/chain : Tire or Tube changes: Clutch plates: Brake pads: Page 3 of 5 Would you like a seminar at camp on performing Services: Yes No Please provide us information on your riding and racing experience to help us select the most appropriate trainer and group for you to be in. Classes You Race: Average Place you finish: Have you been to the Proving Grounds before? Clear all of the jumps on the intermediate track? Yes No If yes can you Yes No How about the advanced track: all jumps, Most: Not many: Do You Feel YOU are an A class racer, B class racer, or C class racer: Would you prefer to be in a Group broken up by A-B-C Rider, or by Bike Size?: What do you need the most work on (Please Circle Two): Starts, Cornering, Passing, Jumping, Whoops, Braking, Endurance, or OTHER: Is there anyone you know attending Camp that you would like to be in the same training group or cabin with? Have you attended a Previous Camp here? Yes/No What year: In your words describe what you would like to improve and get out of your stay at Moto camp:
Page 4 of 5 Any special needs or medical conditions you have that we should be aware of? Will you be dropped off at Camp or will you have a vehicle and trailer to park here: Do you plan on bringing and staying in your own Camper? Yes No Do you have family or friends not attending Camp that will be staying either in a camper, tent or hotel? Yes / No (camper / tent / hotel ) Base Cost of Moto Camp $ 1,000. Subtract $100 if rider is staying in camper - $ Hook Up Site For Camper: Nights X $40 = $ DEPOSIT to be mailed with Registration Form - $ 200. Mail Check BALANCE DUE IN C A S H AT START OF CAMP: $ CASH ONLY There is Limited Space for this Camp and it does book up early. We encourage you to Register as soon as possible. Unfortunately there are NO REFUNDS on DEPOSITS.
Page 5 of 5 ** What to bring to camp ** A Bicycle for training any type bicycle is fine; bmx, mountain or 10 speed! Although meals will be provided and served in the dining hall, each cabin has a full kitchen if campers would like to bring additional food or snacks. It is recommended that campers bring plenty of refreshments such as bottled water and sports drinks. Drinks and snacks will also be available for sale at the dining hall. Cabins have satellite television, and air conditioning. Beds have fitted sheets, but campers will want to bring a sleeping bag or covers and a pillow. There are full bathrooms and showers in the cabins but campers will need to bring their own bathroom supplies; soap, shampoo and bath towels. Toilet paper is provided. For sitting around the fire at night don t forget a comfortable lawn chair. General tools for doing minor repairs and maintenance. Spare parts such as tires, spark plugs, clutch levers, axles, tie rods, bearings and air filters. We have plenty of tools here to help you out if you have a major problem or forget a tool, but it s always best to bring some tools of your own. If you have an enclosed trailer that is great bring it to hold all of your tools and parts we have plenty of room for you to park it. A camera to capture all the great memories and riding that you ll be doing. Plenty of clothes, plan for hot days and cool nights but be prepared for anything the weather can be crazy here in the mountains. Bring all the Riding Gear You own! We do A lot of riding and gear gets dirty fast! A friend or two. The experience will be even more incredible sharing it with someone you know and ride with. A good attitude. Above all else, this is a camp for fun times and great riding experiences. Although the emphasis is on rider improvement and development we are all here to have a good time riding together. Nothing Valuable that will need to be left in the cabin! Any money you want a child to have Can be Held at the dining hall for them as Credit. Mail your Registration and Deposit Check to: Breezewood Proving Grounds 4626 Robinsonville Rd Clearville PA 15535 (814) 784-3605