Fillable Girl Scouts Of Gulfcoast Florida Facility Reservation Form printable pdf download

FACILITY RESERVATION FORM

Girl Scouts of Gulfcoast Florida, Inc. ♦ 4780 Cattlemen Rd. ♦ Sarasota, FL 34233

941-921-5358 ♦ 800-232-4475 ♦ FAX: 941-923-5241 ♦ Email:

♦ Website:

Please complete the form and submit via email, fax, or regular mail.

PLEASE NOTE - PAYMENT MUST BE INCLUDED (attach check or provide credit card information below).

The following are processing dates for events: (Requests received early will be held until processing date.)

TROOP: (3) three months prior to date  SERVICE UNITS/COUNTY: (6) six months prior to date



Troop event - Troop # ________

Service unit event - Service unit

_____________________

County event

(must be filled in)



Grade level(s):

K-1

2-3

4-5

6-8

9-10

11-12

Multi level

(Daisy)

(Brownie)

(Junior)

(Cadette)

(Senior)

(Ambassador)

Event coordinator name____________________________________

Event title__________________________________________

Address_________________________________________________________

City________________________ Zip___________

Phone_______________________ Cell_______________________

Email_____________________________________________

#Girls______ #Females______ #Males______ Total attending_________ Will you need accomodations for men?  Yes  No

GIRL SCOUT HOUSES:

CAMP CALOOSA:

CAMP HONI HANTA:

GULFCOAST EVENT AND CONFERENCE CENTER

Arcadia - Capacity 30

Lodge - Capacity 15

* Lodge - Capacity 120 (day use only)

Bradenton - Capacity 60

Chalet - Capacity 16

* Armadillo Alley - Capacity 34

Collier - Capacity 45

Timberford (tent) - Capacity 32

Weaver’s Nest - Capacity 32

* Sebring - Capacity 25

Quail Run (tent) - Capacity 32

Eagles Perch - Capacity 28

Venice - Capacity 25

* Flamingo Flats - Capacity 18

Hoot Owl Point (tent) - Capacity 32

* Pelican Perch - Capacity 18

Round House (tent) - Capacity 32

* Manatee House - Capacity 20

PLEASE NOTE: Day usage camp hours are: 12:00 p.m. - 5:00 p.m.

Overnight camp hours are: 6:00 p.m. - 11:00 a.m.

* Indicates units for persons with disabilities

YOU MAY BE REQUIRED TO SHARE THE CAMP UNIT DEPENDING ON AVAILABILITY.

1st choice __________ to __________

___________________________________

Day/Date

Facility

Unit/Room(s)

2nd choice __________ to __________

___________________________________

Day/Date

Facility

Unit/Room(s)

Girl Scout House arrival time____________________________

Girl Scout House departure time____________________________

Camp arrival time 6:00 p.m.

Camp departure time 11:00 a.m.

CURRENT CERTIFICATIONS

Name of certified Outdoor Skills facilitator_______________________ Name of FA/CPR trained facilitator_______________________



PLEASE CHARGE MY:

Mastercard

Visa

Discover

American Express

Amount to be charged $____________

Credit card number______________________________________________________ Expiration date______________________

Print name as it appears on card____________________________________ Signature__________________________________

OFFICE USE ONLY: Date received______________________ Date processed______________________ Email date___________________

Reservation confirmed for _______________ to _______________ Facility________________________________ Units___________________

Approval_____________________________________

Date_____________________ Fee $_______________ Refund $________________

Account #_____________________________________________________________________________________________________________

C:SHELFFORMS/2015Forms/FacilityReservationForm ~ Rev. 12-15

Girl Scouts Of Gulfcoast Florida Facility Reservation Form

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