This is a SECURE and ENCRYPTED online form. Print a Blank Form Here This is a Required Field CAMP INSURANCE REQUEST FORM NAME OF CAMP CAMPUS: Boulder Denver UCCS BEGINNING DATE ENDING DATE TOTAL # OF DAYS EXPECTED # OF PARTICIPANTS DO CAMPERS SPEND THE NIGHT? Yes    No, back to their own house.   TYPE: Academic Sport ACTIVITY LOCATION DEPARTMENT NAME DEPARTMENT COORDINATOR CAMPUS BOX # MODE OF TRAVEL SPEED TYPE NUMBER (Approving Org. #, CO Springs only) CAMPUS TELEPHONE FAX EMAIL ADDRESS ADDITIONAL COMMENTS This is a Required Field