Kerr
Scout Ranch at Slippery Falls Reservation Form
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Unit ________________ Dist __________ Person in Charge ________________________________________________________
Activity _____________________________ Home Phone ____________________ Cell Phone _____________________________
Day Phone ________________________ Fax Number__________________________
Email _________________________________________________________________
Arrival Date & Time____________________________ Depart Date & Time ____________________________________________
Anticipated Participation: Youth ___________________ Adult ___________________ Visitors ___________________________
(Give roster to Campmasters on arrival)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Campsites (State Preference 1, 2, 3)
Arrow C __________ Arrowhead __________ Broken Wagonwheel _________ Charlie Brown __________ Diamond E __________
Dog Iron _______ Dollar Sign __________ Four E __________________ HJ Connected __________ Lazy S ___________________
Lightning __________ Okay _______________ Rafter B ________________ Nichols Don __________ Rocking R_______________
Shield Lightning ___________ Spade _____________ Walking 7 _____________ WF Connected ______ Other _________________
Program Areas & Other Facilities
Archery Range ____ Brownsea _____ Bunk House ________ Canoes
_____ Chapel _____ Climbing Wall _______ Bill Eller
(Qty)
Council Ring _______ Dining Hall _______ Handicraft ______ Horseshoe Pits ______ Ranch House _____ Rowboats
________
(Qty)
Rifles
___ Shotguns
_____ Volleyball Court _______ Aquatics Area* _____ Falls* ______________ Rifle Range*______
(Qty)__
(Qty)
Shotgun Range *_______ Climbing Tower *________ COPE Course *_______
* Will need Certification and Office Approval
(will need Director)
Not Available to Units
Health Lodge ___________ Kitchen __________ Office _____________ Trading Post _____________
ALL CAMP RESERVATIONS MUST BE MADE AT LEAST 2 WEEKS PRIOR TO THE ARRIVAL DATE.
A Scout is Courteous: Please call the Scout Office or Camp Ranger if the event is cancelled.
Scout Office (405) 840-1114 * Camp Ranger (580) 371-9994
Please send completed forms to Jaylen () or Monique ()
*See fees on the reverse side of this form
Office Approval __________________________________________________ Date _________________
Posted to Spreadsheet by ___________________________
Date _________________ Certification Attached Yes
No
Confirmation Given (Circle One):
Faxed (attached)
Mailed (date _________)
Handed to Customer (date ________)
(Camp reservation confirmation is a signed copy of this form.)
Total amt. due __________________________ Paid _______________________