Form Pro-0027-W - Troop Camping Reservation printable pdf download

Office Use

Confirm date__________________________________

Rent Amount $ ______________

Please read the directions for filling out the application on the backside of

Total Fees Due $ ____________

this form before continuing further. Complete and mail this application

with entire camp fee:

Amt. Pd $____________ Balance due $_____________

Girl Scouts San Diego, 1231 Upas St., San Diego, CA 92103-5199

After processing, a confirmation packet will be emailed/mailed to the address provided.

Please print using black or blue ink.

Outdoor Trained Adult __________________________________

Training completed: Let’s Camp (yr____) Let’s Cook (yr____) Let’s Tent (yr_____)

Outdoor Trained Adult information: Phone: day (______) ____________________ eve.(______)_______________________email:__________________________

Address ________________________________________________________________ City ______________________________________ Zip _______________

Leader/adult in charge ________________________________________ E-mail_________________________________ Phone: day (____)__________________

Leader/adult in charge is responsible for acquiring keys when camping at Balboa and Escondido Program Centers. Contact the Resource Center during

regular business hours Monday-Friday, 8:30 a.m. to 5:30 p.m. at (619) 610-0742 or (800) 643-4798, ext. 742 or

to make

arrangements.

Troop(s) # ______________/______________/_______________

Service unit ________________________________________________________

# of Br._____ # of Jr._____ # of Cad._____ # of Sr._____ # of Amb.____

# of female adults_______ # of male adults _______

Total # ___________

Please indicate your camping choices by date. Refer to Property Resource Guide for descriptions of the council camp sites available. If any camps/site is acceptable,

please write "any" under Site name heading. Arrival time is 4 p.m. or later; departure time is before 2 p.m.

Date

Site name

Unit/cabin

Tent

First choice:

mo/day - mo/day

Second choice:

mo/day - mo/day

In-town contact ________________________________________________________

Phone (__________) _________________________________

Name of qualified first aider _______________________________________________

Phone (__________) _________________________________

Trained cook _____________________________________________________

Lodge/kitchen: (date) __________ (time) ______ to (time) ______

Lifeguard ________________________________________________________

Pool:

(date) __________ (time) ______ to (time) ______

(Circle one)

Archery instructor __________________________________________________

Archery:

(date) ______________ 9 a.m. -1 p.m. or 1-5 p.m.

Challenge course trained persons-- two (2) required

Challenge course: (date) _______________ 9 a.m. -1 p.m. or 1-5 p.m.

_______________________________________________

Tree house (date) ____________________________________

___________________________________________

Adventure Zone (date)___________

8:30 a.m.-12:30 p.m. or 1:30-5:30 p.m.

We, Troop(s) #____________/_______________/____________ believe that the stewardship of our camps and their resources are our responsibility and privilege.

To demonstrate this, we promise to leave our site better than we found it. We are knowledgeable of the policies and procedures outlined in the Property Resource

Guide and have consulted our Activity Consultant, who has approved this activity and signed below.

Activity Consultant Signature Is Required Before Submission

____________________________________________________________

______________________________________________________________

Signature (Outdoor Trained Adult)

Date

Signature (Activity Consultant)

Date

If paying fee by credit card, complete the following.  Visa  MasterCard  Discover  American Express

Credit card number ________ ________ ________ ________

Amount to be charged $______________

Expiration Date ____________