Register NOW for CampExperience™ Click here for our FACT SHEET (Adobe PDF) Click here for our schedule (Adobe PDF) Please use one registration for each individual Camper.
First Name:
Last Name:
Address:
Suite, Apt #, Etc. :
City:
State:
Zip:
Work Phone:
Home Phone:
Cell Phone:
Preferred Contact Method	Email Work Home Cell
Title:
Organization:
Email:
Emergency Contact:
Emergency Contact Phone:
Special Dietary Needs?:
Do You Eat Breakfast?	Yes No
Special ADA Needs?:
Sweatshirt size (women’s sizes):	Small Med Large X-Large XX-Large
T-shirt size (women’s sizes):	Small Med Large X-Large XX-Large
Slipper size (women’s sizes):	5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12
How did you hear about CampExperience?	Postcard From a friend From Partners in Housing From Warren Village Denver Rescue Mission From TESSA CampExperience newsletter From an event sponsor E-mail promotion Saw in the media Other
Who referred you to CampExperience?
Registration Fees Choose to register in one of the following categories: First-time Camper:  $945 Includes beautiful Silpada official Camp charm bracelet first-timer gift, package of two full days of education and inspiration; 35 amazing speakers and leaders in 5 keynote sessions; group interactive activities; 16 breakout workshops; FREE morning fitness activities; all meals including 2 breakfasts; 3 lunches and 2 dinners; 2 receptions; 2 dessert buffets; choice of one FREE Excellent Adventure activity; access to Creativity Corner for FREE crafts; Camp workbook, discounted Optional Personal Services to support our Charity Partners and commemorative gifts Alumni Camper (attended 2006-2009 ):  $895 Includes package of two full days of education and inspiration; 35 amazing speakers and leaders in 5 keynote sessions; group interactive activities; 16 breakout workshops; FREE morning fitness activities; all meals including 2 breakfasts; 3 lunches and 2 dinners; 2 receptions; 2 dessert buffets; choice of one FREE Excellent Adventure activity; access to Creativity Corner for FREE crafts; Camp workbook, discounted Optional Personal Services to support our Charity Partners and commemorative gifts To showcase your business via Camp sponsorship, contact Betsy at Betsy@CampExperience.com or call 720-200-0271.  Packages begin at $2500 and categories are limited. All fees do not include Optional Personal Services and Charity Shopping Activities, and housing at Copper Mountain Resort. Secure Payment Method You may register on line by using a credit card or print out this form and mail it with a check or money order. NOTE: You MUST select a card type if paying by credit card.
*Card Number:
*Exp:
*Security Code: 3 digit (4 if Amex ) code on the back of your card
Promo Code:
You may also print this form and FAX to our secure FAX 801.650.4850. To Pay by Check:  Please print the registration form with the print button at the top of this page, and mail it with your check to: Wiersma Experience Marketing 10601 E Crestline Ave Englewood, CO 80111 A receipt will be retuned to you upon processing of your Registration Fees.  You will have a separate transaction with Copper Mountain Resort when you book your accommodations. Camp Policies and Activities Please read and check the box at the end to acknowledge your understanding of our Camp policies: Cancellation Policy:  Full refund of Registration and if cancellation is received in writing by June 1, 2010; 50% refund if cancelled between your registration date and July 1, 2010.  No refunds on after July 1. You may replace an attendee with a new one and incur no cancellation fee or donate the guest spot to our Charity Partners.  Cancellations must be received in writing and should be sent to betsy@campexperience.com or fax to Betsy at 801.650.4850. Photographs and video tape will be taken during CampExperience.  By registering for this event you agree to allow CampExperience to use photographs and/or video tape that may include shots or likenesses of you in any CampExperience publications, marketing and promotional materials, or our web site.  If such photos/video are used, you are not entitled to receive any remuneration, royalties or other such payment. Privacy Policy:  Your name, and e-mail will be published in the Camp workbook which is distributed to all Campers, Charity Partners and Sponsors.  You will receive information from the Camp planning committee, our Charity Partners and sponsors about ongoing events and promotions. Support of Our Charity Partners One important experience will be combining our efforts to help other women.  Each Camper will be asked to support our Charity Partners with donations of at least three new or gently used items to be sold in our Camp Charity Bow-tique store.  We will also have a collection activity on-site for clothes and household goods. I understand participation in CampExperience includes my personal support of our Charity Partners (Denver Rescue Mission, and the Alliance of Professional Women Foundation) with my donations of Charity Bow-tique items, and/or cash, goods or in-kind services as I see fit. Copper Mt. Resort Lodging For lodging call Copper Mountain Resort on their toll-free conference line at 866.837.2996.  To receive our special group rates, mention CampExperience and group number 3gc4sg .  The call-in room block with the special Camp room block will be dropped in August 2010. Rooms will be booked based on space availability after this time. The room block for the past 3 years has SOLD OUT! Copper Mountain Lodging Rates  Camp is a great place to share a room with your girlfriends.  Here are our very special discounted rates: Silver Hotel Room     $111 per night; bedding varies Silver Telemark Studio   $116 per night; bedding varies Silver One Bedroom     $135 per night; one queen bed and a queen sofa sleeper Silver Two Bedroom   $162 per night; two queen beds and a queen sofa sleeper Gold Hotel Room $123 per night;   Gold One Bedroom   $143 one queen bed and a queen sofa sleeper Gold Two Bedroom      $179 two queen beds and a queen sofa sleeper Gold Deluxe Studio   $132 per night; bedding varies Gold Three Bedroom $389 per night; three queen beds and a queen sofa sleeper     Taxes Surcharges 5.775% tax and 7.5% surcharge will be added to the cost of your room and is subject to change.  Complimentary parking is available for Copper Mountain Resort lodging guests. Copper Mountain Individual Lodging Deposit Policy for Call-in Reservations A 15% lodging amount will be required upon making reservations. The balance on the room reservation will be billed to the credit card number on file 14 days prior to arrival. Room Cancellation Policy: If canceled 14 days or more prior to arrival date, refund on the deposit amount received will be made less 10%. If canceled less than 14 days prior to arrival date, the individual is subject to full forfeiture of the reservation value. Pre/Post Event Special Group Rates: Copper Mountain Resort will extend rooms (on space availability) at the discounted group rates to attendees up to three days before or after our September 24-26, 2010 event. No Shows: Rooms which have been reserved and whose attendees fail to show on their scheduled day of arrival will be billed to the entity guaranteeing the reservation for the total lodging amount for the contracted time. Early Departures: A fee of 100% of the remaining room nights lodging amount will be charged if an attendee checks out before their confirmed departure date.  This may be waived for emergency situations but must be authorized by Copper Mountain Resort.  * I acknowledge that I have read the Camp policies and I agree to the stated rules and requirements.  I also understand that I must make my own reservations for accommodations at Copper Mt. Resort. (Please mark the box) Congratulations!  You have just registered for CampExperience 2010.  Your registration will be processed and you will receive a letter, receipt within 7-10 days.  Questions?  Please contact Tracy Pierce at Tracy@CampExperience.com
Once you hit submit, your credit card will be processed personally by Camp staff. Please note your credit card receipt will say Wiersma Experience Marketing.