Reservation Form

To be completed by Group Leader and submitted by clicking on "Submit" below.

Today's Date: *

Organization Name: *

Mailing Address: *

Country

City

State

Zip code

Contact Person: *

Email Address: *

Event Date: *

Arrival Time:

Departure Date: *

Departure Time:

Phone Number: *

First Meal:

Arrival Date: *

Group will consist of:

Children: *

Youth: *

Mixed Adults: *

Men: *

Women: *

Use of Chapel?

Yes, we will need use of Chapel

No, we will NOT need use of Chapel

Balance of Invoice is Due by Close of the Event

I understand that according to Illinois State Regulations, we need:

A Camp Group Leader: *

Last Meal:

An IL Licensed Cook: *

Please check the box below: *

reCAPTCHA is required.

The Leader's Planning Guide and above statements have been read and policies will be adhered to by our group. Please enter your full name below: *

An Illinois Certified Nurse (or First Aid Person): *