Cabin Reservation Form - Scout Camp - 2016
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1 Owasippe Scout Reservation
RENEKER FAMILY CAMP
2016
CABIN RESERVATION FORM
One form is required for each period and each cabin, no exceptions. If you are reserving multiple cabins or multiple
weeks multiple forms must be submitted.
Doc# RR2016
Please fill in ALL fields.
Date: __________/___________/___________ Email:_______________________________________________________________
Cabin User’s Name: ___________________________________________________________________________________________
Address: _________________________________________________________________________________________________________
City: _______________________________________________ State: ____________ Zip: _______________________________________
Daytime Phone: _________________________________________ Evening Phone: ___________________________________
Please choose ONE period.
Period 1: June 26 – July 2
Period 4: July 17 – July 23
Period 5: July 24 – July 30
Period 2: July 3 – July 9
Period 3: July 10 – July 16
Period 6: July 31– August 6
Please designate a first and second choice of site number you wish to reserve:
Primary site choice:_________
Secondary Site Choice:_________
To be eligible for with unit discount you must be a parent or legal guardian to a Scout or Staff Member, or the spouse of an adult
leader. In either case you must also be attending during the same week/period that the Scout or leader is staying at camp.
Choose one:
Attending with unit, $320 per week
Attending without unit, $420 per week
Attending with unit, Saturday Arrival, $385 per week
Attending without unit, Saturday Arrival, $485 per week
If attending with unit, please list the information below:
Relationship to Scout or leader:___________________ Scout or Leader’s name:_____________________________
Unit #:___________
$50.00
Please include deposit amount of:
for this reservation.
Make checks payable to: Pathway to Adventure Council, BSA
Mail checks to: 1218 W. Adams St., Chicago, IL 60607
(312) 421‐8800 for assistance or additional information
A $50.00 non‐refundable, non‐transferrable deposit per cabin per week is required with each reservation. All cancellations prior to April 1, 2016 wil l
receive a refund less the $50.00 cabin deposit. Cancellations after April 1, 2016 wi ll receive a refund less $100 to cover costs incurred for the
program.
I understand that all 2016 cabin rentals must be paid in full by May 1, 2016. The Council reserves the right to cancel or change 2016
camp reservations to accommodate the needs of the Council. The Council also reserves the right to operate some, all, or none of the campsites and
programs previously delivered. In any event, the Council will notify the individual who initiated the reservations and they may receive a full refund
of all fees paid if requested within the allotted period of time.
I have read and agree to abide by the conditions presented: ________________________________________________
Signature:
6/25/2014
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