Primary Contact
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Primary Contact
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Organization Name
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Organization or Contact E-mail
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Organization/Contact Phone Number
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Format: (000) 000-0000.
Organization or Primary Contact Address
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Street Address
Street Address Line 2
City
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State
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Proposed Event Arrival Date (1st Choice)
*
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Month
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Day
Year
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Proposed Event Departure Date (1st Choice)
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Month
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Day
Year
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Proposed Event Departure Date (2nd Choice)
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Month
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Day
Year
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Proposed Event Departure Date (2nd choice)
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Month
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Day
Year
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Proposed Event Departure Date (3rd choice)
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Month
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Day
Year
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Proposed Event Departure Date (3rd choice)
*
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Month
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Day
Year
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Proposed Arrival Time
*
Proposed Departure Time
*
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Lodging requested for staff prior to the event
Lodging with Private Baths (17 Rooms Available)
Lodging with Hall Baths (300 Beds Available)
RV Site
Other
Additional Lodging Requested for staff immediately prior to the event's arrival date
Number of staff requiring lodging prior to event arrival date
Lodging requested for staff after the event departure date.
Lodging with Private Baths (17 Rooms Available)
Lodging with Hall Baths (300 Beds Available)
RV Site
Other
Meeting Areas requested for staff prior to the event
Meeting Area for staff prior to the event's arrival date
Other (Comment in Additional Notes)
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TOTAL NUMBER OF ATTENDEES (Include everyone attending with your group: campers, staff, leadership, day campers, etc.)
Nursery - Preschool Children
*
Children Campers K - 5th grade
*
Youth Campers Grades 6-12
*
College /Career Campers 18 -Age 25
*
Adult Campers Ages 26 and above
*
Staff/Leadership Team
*
Day Campers
*
People Attending, Driving-In for the Day, requiring meals
Lodging Areas Needed: Please Select All Needed Areas
Dorms for Separate Genders
Dorms for families
Dorms for Couples
Dorms for Staff/Ministry Team
Other (Comment in Additional Notes)
Type of Lodging Needed
Dorms with Hall Baths
Lodging with Private Baths (17 Rooms Available)
Lodging with Hall Baths (300 Beds Available)
Other (Comment in Additional Notes)
Meeting Areas: Please Select All Needed Areas
Meeting Area for Large Group (50+)
Meeting Areas for Small Groups (10 - 50)
Meeting Areas for Small Meetings (1 - 10)
Registration Area for Event
Craft Area
Snack Bar
Other (Comment in Additional Notes)
Recreational Areas: Please Select All Needed Areas
Pool (75)
Recreational Pavilion (Basketball, 4 Square, etc.)
GAGA Pit
Fire Pit
Axe Throwing
Target Practice
Disc Golf
Corn Hole
Creek Swimming
Athletic Field (Soccer, Baseball, Football)
Type of Event
*
Couples Retreat
Youth Camp
Church Retreat
Leadership Meeting
Adult Retreat
Civic Meeting
Family Reunion
Business Meeting
Other (Comment in additional notes below)
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Number of BREAKFAST Meals Required for event
*
example: 3 for a three-day event
Number of campers eating each Breakfast meal
*
Number of LUNCH Meals Required
*
example: 3 for a three-day event
Number of people eating each Lunch Meal
*
example: 3 for a three-day event
Number of DINNER Meals Required
*
example: 2 for a three-day event ending after lunch on the third day
Number of People eating each dinner meal
*
example: 2 for a three-day event ending after lunch on the third day
Number of Days Snacks Requested
*
Snacks will be provided mid morning or mid afternoon
Number of Days Coffee/Water Bar Requested
*
Anything else you would like us to know?
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