Property Use Agreement Form
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1
2PROPERTY USE AGREEMENT
Pine Tree Council, Inc.
st
Property rentals open Sept. 1
for the following year!
Boy Scouts of America
131 Johnson Road
Portland, ME 04102
Troop
Pack
Crew
Other __________
Unit Number:___________
Tel: 207-797-5252
This agreement establishes the use of the property at Camp:
Fax: 207-797-7183
HINDS________ BOMAZEEN_________ NUTTER_________ GUSTIN________
The user requires the following buildings, campsites, and/or facilities: ___________________________________________________
__________________________________________________________________________________________
ARRIVAL: ____/ _____/ _____
TIME: __________AM
DEPARTURE: _____/ _____/ _____
TIME:__________AM
Mo
Day
Year
Mo
Day
Year
__________PM
__________PM
*
*
NO. OF YOUTH_______
NO. OF ADULTS_______
IS THIS A CO-ED GROUP? _____ YES
_____ NO
TRIP LEADER - NAME:___________________________________________________ARE YOU BSA REGISTERED?________
ADDRESS:_________________________________________________________________________________________________
DAYTIME PHONE:__________________ EVENING PHONE:_________________ Email Address: _________________________
ASSISTANT LEADER - NAME:________________________________________________ PHONE: ________________________
WILL BOATING AND/OR SWIMMING BE PART OF YOUR PROGRAM? _____YES
_____NO
NON-SCOUTING GROUPS MUST SUBMIT:
( ) Hold Harmless Agreement
( ) Certificate of Insurance
CAMP HINDS – Ranger: Scott Martin (207)318-8754
CAMP BOMAZEEN – Caretaker: Steve Craig: H – (207)465-7333 C – (207)649-6411, Campmaster: Tracy Wiggin (207)645-2384
CAMP NUTTER – Campmaster: Paul Bock (207)604-0933
CAMP GUSTIN – Caretaker: Gino Camardese: H- (207)946-1040 C-(207)240-5423, Campmaster: Allen Ward (207) 576-6016
The signature of the Trip Leader on this Agreement signifies that the attached policies have been read and will be abided by.
Please return this completed form, with payment, to the address listed above.
_________________________________________________
_____________________________________________________
(Trip Leader Signature)
(Council Approval)
Date:_____________________________________________
Amount Paid:__________________________________________
A $25 cleaning fee will be charged if buildings or campsites are not left in a clean condition!
A Scout leaves a place cleaner than he found it!
REFUND POLICY:
Individuals or groups that cancel their reservation 30 prior to the date of the rental will receive a refund of fees paid, less 15%
administrative charge. NO REFUNDS WILL BE MADE AFTER THE 30 DAY CANCELLATION DEADLINE.
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