Athlete Questionnaire
Please fill out prior to attending B.A.S.E. XCamp
Camper Name *
Your answer
Email *
Your answer
Address *
Your answer
Emergency Contact Name and Phone Number *
Your answer
High School Name *
Your answer
Grade in 2019-2020 School Year *
Did you/your child participate in cross country before? Check all that apply.
If you/your child ran high school cross country during the 2018 fall season, what was your/your child's 5k PR? Which course?
Your answer
If you/your child ran middle school cross country during the 2018 fall season, what was your/your child's PR? Which course/distance?
Your answer
Did you/your child compete in a high school or middle school sport during the Spring 2019 season?
What is the longest distance you/your child have/has ever run?
Your answer
Any allergies/medical conditions we should be aware of? If so, please provide information about any medications (e.g., inhalers, Epi-pens) and how they should be stored/accessed at camp.
Your answer
PARENTS/GUARDIANS - If you have not done so already, please plan to sign, print, and bring a signed waiver to the first day of camp!
You can access the waiver at www.bxcamp.com in the FAQ section.
Comments or concerns?
Your answer
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