MadUni Store – Registration and Checkout

For camp dates/times, session requirements, and additional details see the main camp page on the MadUni website.

Camp Session

Camper's Name

Camper's Age at Start of Camp

Camper's Date of Birth

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Email

Parent/Guardian(s) Additional Phone Numbers

Emergency Contact Name and Relationship to Camper (other than parent)

Emergency Contact Phone Number(s)

Preferred Hospital

Insurance Provider

Insurance Policy Number

Allergies, Previous Injuries, and Additional Relevant Camper Information

All campers must be a member of either MadUni or Unicycling Society of America

I understand, and the camper is already a member

I understand, and the camper needs to be a member

Rider Skill

I acknowledge that my rider is the correct skill level for their selected camp session as verified by an official level tester

Credit Cardholder's Name

Credit Cardholder's Email