Facility Reservation Form For Gscfp Troops/groups Form Page 2

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Required Training Information
By entering into this rental agreement with GSCFP, you are guaranteeing that your group will have an adult
with any required certifications present at all necessary times, per GSCFP policy and Safety Checkpoints.
Copies of certifications must be submitted to GSCFP at least one week prior to stay. Ranger may request
documentation upon arrival. Failure to do so will result in your organization not having access to requested
activities.
Required for Primitive Camping, Cooking Outdoors, Building a Fire, or Other High Risk Activities
Outdoor Education Training
Name: __________________________________________________________ Training Course Date: _______________________
First Aid/CPR Certifications (Child CPR required for children younger than age 8)
Adult’s Name: _________________________________________________________________
Expiration Date: CPR ________________________________________
First Aid ______________________________________
Required for all Swimming Activities
Lifeguard Certification
Adult’s Name: ____________________________________________________
Expiration Date: ______________________
Required for all Boating/Canoeing Activities
Small Craft Water Safety Certification (or equivalent)
Adult’s Name: ______________________________________________________
Expiration Date: ______________________
Required for Archery
Archery Instructor Certification
Adult’s Name: ______________________________________________________
Expiration Date: ______________________
Payment Information
Facility Rental Fee per Fee Schedule: $___________________
Check Number _________ enclosed payable to GSCFP
Credit Card
Mastercard/Visa# ________________________________________________________ Expiration Date _____________
Name on Card ___________________________________________________________
Signature of Cardholder (required) _______________________________________________________________
Please note: You should not send credit card information via email or fax. If you would like to pay by credit card,
please indicate on the form, scan and email/fax form, then call 800-876-9704 to give us your credit card information
over the phone. OR completed forms may be mailed to GSCFP Property Reservations,
4585 Isabella Ingram Drive,
or fax 850-433-1408.
Pensacola, FL 32504
Questions about your reservation? Contact us at
or (800) 876-9704.
Questions about a specific property? Contact
or (800) 876-9704.
OFFICE USE ONLY
Date Application Rec’d ____________ Total Fee $____________ Receipt # __________________
Confirmation Sent ___________________
Added to Calendar _________________
Ranger Notified ________________

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