2018 Camp Speaker Information Form and Contract Please complete this form by Friday, April 27th. Contact us ASAP if you have a question about the schedule. Please note any field with a * is required. Name* First Last Cell Phone*Email* Emergency Contact Name*Emergency Contact Phone Number*Will You Be Staying in The Dorms at UCCS?*YesNoPlease Select Room Type PreferenceSingle (Non shared)Double (Shared Ok having a Roommate)Commuting (No room needs)I Arrive at Camp on:*Monday, May 28thTuesday, May 29thWednesday, May 30thI Depart from Camp on:*Tuesday, May 29thWednesday, May 30thThursday, May 31stDo you need a ride from the airport?*YesNoIf You DO Need a Ride from the Airport, Please fill in Flight Info Below!Which Airport?Colorado Springs (COS)Denver International (DEN)Airline and flight numberArrival Date Date Format: MM slash DD slash YYYY Arrival Time : HH MM AM PM Departure Date Date Format: MM slash DD slash YYYY Departure Time : HH MM AM PM I will have handouts for my session(s)YesNoAudio Visual Needs - please check all that apply Power Point Sound-Video Output Flip Chart Other - please describe below (microphone provided)Any other questions or requests?Please type full name below*I have reviewed the Camp Elevate schedule and confirm the mutually agreed upon time(s) and date(s) that I am committed to speak are correct.Please type full name below*I acknowledge I am an independent contractor for True North Sports, as a speaker at Camp Elevate and I accept the mutually agreed upon speaking terms designated in my Speaker Details email I received Thursday, April 12, 2018Thank You!