Summer Lottery Application Form
Complete all pages to reserve your spot and secure your payment.
Reservation Contact Information
Responsible for payment
*
First Name
Last Name
Email Address
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred launch time
*
Please Select
9 AM
12 PM
2 PM
5 PM
Arriving on own boat
Cabin Preferences
*
Idlewild 4
Idlewild 5
Rock Ledge 1
Rock Ledge 2
Rock Ledge 3
Rock Ledge 4
Rock Ledge 5
Wildwood 1
Wildwood 2
Belknap 1
Belknap 2
Breezy 1
Breezy 2
Breezy 3
Breezy 4
Breezy 5
Breezy 6
Breezy 7
Deep Water Cove
Yellow Birch 1
Yellow Birch 2
Yellow Birch 3
West Cove 1
West Cove 2
West Point
West Shore 1
West Shore 2
West Shore 3
West Shore 4
Turtle Rock 1
Turtle Rock 2
Turtle Rock 3
North Point
Shelving Ledge 1
Shelving Ledge 2
East Bluff
Chamerlain
Town Hall
East Ledge
Rock Island
Boulder 1
Boulder 2
Boulder 3
Boulder 4
Boulder 5
Boulder 6
Edgewater 1
Edgewater 2
Edgewater 3
List 1st, 2nd and 3rd choice for up to 4 cabins per reservation
Dates at camp
*
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Please select up to 4 weeks
Number of people in party
*
Maximum of 12
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Camper Information
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Reservation Summary & Payment
Total Deposit Amount
Payment Amount
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USD
Description
Credit Card
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