2024 Champions Seasonal - Weekly Pump-Out Request Form

2024 Champions Seasonal - Weekly Pump-Out Request Form

This form is to request pump-outs - there is a $20 fee for a regular pump-out for those scheduled the week before (no later than MONDAY) and a $50 fee for any emergency pump-outs.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Site Number*
PLEASE NOTE THAT EMERGENCY PUMP-OUTS MAY NOT BE AVAILABLE ON WEEKENDS. INQUIRE AT THE CAMP STORE FIRST IF YOU NEED AN EMERGENCY PUMP ON THE WEEKEND (FRIDAY-SUNDAY).
Pump Date Requested

MonthDayYear
Date
EMERGENCY PUMP REQUEST DATE

MonthDayYear
Date

My Payment*

Regular Pump-OutThis is for a regular pump out scheduled one week in advance.

$20.00

Emergency Pump-OutThis is for any emergency pump-out needed indicated on the date selected above. PLEASE SEE NOTE ABOVE BEFORE PAYING.

$50.00

Total

$0.00