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2018 DREAM CAMP Registration Form Page 1 of 5 DREAM CAMP Quad Week (Quads Only) (5) Days and (5) Nights Mon-Tue-Wed-Thur & Friday July 9 th to the 13 th 2018 Sign in For Camp is Sunday July 8 th after 6pm. Camp is over Friday and pickup is between 3 and 5pm. ALL RIDERS AND EQUIPMENT MUST BE OUT OF CABINS BY 5PM. Dream Camp Quad Week is a 5 day camp focusing on Motocross Racing Skills taught by top Pro Racers. Riding skills will be tested and evaluated on the first and last day of camp. Riders can expect a lot of training time and open riding time on all tracks. Although we will have a fun schedule of activities lined up for campers the main emphasis of this camp is learning Quad Racing Skills from the Best Atv Racers in the World! There is swimming in our pond with high dive and water slide, a bicycle ride through the countryside and a staff led trail ride on pitbikes and mini quads. Evening activities include, campfires, movies, karaoke, and night time pitbike racing. Cost of DREAM 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 Quad: $1,200. Discount for staying in your camper or hotel - $100. No Charge For primitive Camp Site / Hook up sites One on One Time with Pro of your choice $40 per nite & must be reserved $100 per hr - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 Email Address: Parent or Guardian (Only necessary if rider is under the age of 18) Name: T-Shirt Size: Parents Home Number: Cell: Emergency Contact phone: Cell: ********* Did another Rider REFER YOU to camp? Yes / No If Yes: **** Rider that Referred you to Camp: *** Machine you will be attending camp with: Make Model Size Will you have more then one machine with you, if so what? Would you benefit from and like to have a seminar at camp on Maintenance? Yes or No

Do you do the following Service on your machine: Sprocket/chain : Carrier bearings: Tie Rod Changes: 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? Yes No If yes can you Clear all of the jumps on the intermediate track? 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: 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 with? Is there anyone you know attending Camp that you would like to be in the same Cabin with (must be same age group):. Have you attended a Previous Dream Camp? Yes/No What year: In your words describe what you would like to improve and get out of your stay at dream 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: Don t Forget to Bring a Bicycle for Training any bike is fine. 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 ) ** Name of Rider that told you about Dream Camp: Base Cost of Dream Camp $1,200. Subtract $100 if rider is staying in camper One on One PRO TIME: hrs X $100 = - $ $ Pro s you want 1 on 1 with: 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 every year, we Encourage You to get your $200 Deposit in As Soon As Possible. Unfortunately there are NO REFUNDS on DEPOSITS.

Page 5 of 5 ** What to bring to camp ** A Bicycle for training rides, Bmx, Mountain Bike or 10 speed are all fine. Although meals will be provided and served in the dining hall, each cabin has a Fridge and microwave 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 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. 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! We will do a laundry run for those that need gear cleaned mid week. 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 $200 Deposit Check to: Breezewood Proving Grounds 4626 Robinsonville Rd Clearville PA 15535 (814) 784-3605