Final Payment Form - 2016
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1Owasippe Scout Reservation
Boy Scout Resident Camp
Please fill in ALL fields.
Final Payment Form
2016
Date: __________/___________/___________
Doc# FP1115
Unit #: _______________ Council:____________________________________ District:___________________________
Camp Coordinator:________________________________________________________________________________________
Address:____________________________________________________________________________________________________
City:_______________________________________________ State:____________ Zip:__________________________________
Daytime Phone:_________________________________________ Evening Phone: _______________________________
Email:__________________________________ Person in charge at camp:_______________________________________
Please choose camp and site:
Blackhawk
Wolverine
Site Number:
___________
Period # _________ ________Scouts attending @ 290$/ scout =
$____________
________Adults attending @ 165$/adult =
$____________
Period # _________
________ Scouts attending @ 290$/scout =
$_____________
________ Adults attending @ 165$/adult =
$_____________
$____________
Total Due
Less Reservations already paid:
$____________
Less Camperships:
$____________
Less Popcorn Camp Cash:
$____________
Final Amount Due
$____________
Amount Enclosed
$____________
Payment deadline: The Balance of Fees must be submitted to the Council office or (postmarked) by May 15,
2016, to receive the $40.00 discount.
NOTE: New Scouts registered in 2016 pay the discounted fees.
Make checks payable to: Boy Scouts of America
Mail forms and checks to: 617 E Golf Rd Suite 101, Arlington Heights, IL 60005
(312) 421‐8800 x 224 for assistance or email
2016 Fees
Boy Scout Resident Camp Discounted Fee Before 5/31 After 5/31
Scouts
$290/wk
$330/wk
Adults
$165/wk
$165/wk
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