Property And Facilities Reservation Form-Camp Illinek
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1
2Abraham Lincoln Council
Boy Scouts of America
CAMP ILLINEK
Phone 217.529.272 7
Fax 217.529.5786
Property and Facilities Reservation Form
Abraham Lincoln Council properties and equipment are intended for year round use by Scout and non-Scout groups. Properties are of sufficient size to satisfy the
physical requirements of multiple uses and programs concurrently. The use of this reservation form is necessary for coordinating the needs of each group on a first
come first served basis. Please check your group’s needs and be considerate of he needs of others. PLEASE NOTE: Certain facilities will be available with
restrictions while winterized (October 15 - May 15). Weather and ground conditions may require changes in available program areas without notice.
PLEASE PRINT ALL INFORMATION
Group/Organization Information
Requested Date (s)
From: Date _____-____-_____ Time _______ am or pm
Name of Scout Council or organization requesting facilities:
mm dd
yy
(circle am or pm)
__________________________________________________
To:
Date _____-____-_____ Time _____ am or pm
mm dd
yy
(circle am or pm)
Scout Unit & Number: _______________________________
Responsible Adult _________________________ Age _____
Anticipated Attendance
Phone (day) ________________ (night) ________________
Youth
Boys ________
Adults
Male ________
Address __________________________________________
Girls ________
Female ________
Number of Vehicles _____________
City _________________ State ______ Zip Code ________
Non-Scout or
In Council
Please check the facilities
desired then calculate costs.
Scout
Out-of-Council
COST
Groups
Scout Groups
CAMPSITES:
($2.00 per person per night)
Bunker Hill
@ $2.00
X
X
X
@ $2.00
Eagles Nest
X
X
X
Indian Village
X
X
X
@ $2.00
X
X
X
@ $2.00
Pine Woods
Pioneer Point
X
X
X
@ $2.00
FACILITIES:
Activities Bldg
$20.00 per day
X
Barbeque Pit
No Charge
Boathouse Loft */
X
X
$20.00 per day
Booth Lodge *
X
X
X
X
X
X
$25.00 per day
$60.00 per day
Rotary Lodge
X**
X
X
X
X
$25.00 per day
$25.00
per day/night
Shower House
X
X
X
$20.00 per day
PROGRAM AREAS
Archery **
Restricted to Council or district events
BB Gun Range **
Compass Course
No charge
Fire Bowl
No charge
No charge
Lyman Grove
Fee Sub-Total
*
NO Sleeping
Plus Deposit
$50.00
/
Wood burning Stove
** With restrictions
Total Fees Due
*** Potable Water at site
Swimming is not allowed at Camp Illinek
Sleeping in Booth Lodge is prohibited .
Signature required
I have read and agree to abide by the rules on the reverse of this form / set out with this document:
_______________________________________
_________________
Signature
Date
OFFICE USE ONLY
____Visa
____Mastercard
____Discover
____American Express
equest Approved by: ____________________
R
Date Request Made:
____________________
Card Holder Name:
Date faxed to Camp:
_______________________________________________
_________________________
Card Number:
Certificate of Insurance (non-scout/out-of-council groups:
____________________________________________________
Yes _________ No _______
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