2019 State Summer Games Family Housing Reservation This form ONLY applies to those athletes who are 8-15 years of age who need a family member to stay with them in the dorm rooms at Colorado Mesa University June 7-9, 2019. The cost will be $30 per person (does not include your child who is participating) payable on June 7th either by cash or credit card. This includes a bed and 3 meals (Saturday breakfast and dinner as well as Sunday breakfast) at the dining hall. Child's Name* First Last Child's Date of Birth* Team Name / Local Program Name*Sport in which your child will be competing*AquaticsPowerliftingSoccerTrack and FieldParent/Guardian Name* First Last Parent/Guardian Date of Birth* Phone*Email* Please list other immediate family members who want to stay in the dormNameDate of Birth (MM/DD/YY) Please do NOT include your child as your coach will already count them in their dorm reservation. We will insure you are paired with them.