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CHESTER COUNTY COUNCIL, B.S.A.
504 SOUTH CONCORD
ROAD - WEST CHESTER, PA 19382
Telephone: 610-696-2900
HORSESHOE SCOUT
RESERVATION WINTER CAMPING FEE TRANSMITTAL
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Reservation Confirmation Number ____________________
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Check
ONE:
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Camp Horseshoe
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Camp Ware
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Unit #
___________ |
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Troop |
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Pack |
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Crew |
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Other_____________________________________ |
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Date of Event:
____/____/____ |
Council Name :
CCCBSA
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Other:_____________________________ |
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Contact Name:_____________________________________ |
Daytime Phone #:
______________________________________ |
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Street Address:____________________________________ |
Evening Phone #:
______________________________________ |
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City:_______________________Sate: ______
Zip: __________ |
Email Address:
_______________________________________ |
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Amount |
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Method of Payment |
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Cash |
$ __________ |
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Check |
$ __________ |
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Unit Account |
$ __________ |
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Total Fees Remitted
$________________
We have previously
submitted a site reservation (Stake-A-Claim) fee in the amount of
$______________.
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UNIT LEADER
- PLEASE READ AND SIGN:
1.
Breakage Pledge:
Our troop will be responsible for damages or clean-up expenses due to
our use or abuse of facilities and authorize a $25.00 maximum
deduction or charge to our unit account in the office and will also
assume responsibility beyond that amount for major damages.
2.
I will review the Do’s and Don’ts items sent with my permit
with my boys prior to arrival and again in camp and agree to abide by
the items listed.
SIGNED:
___________________________________ POSITION:
_____________________________
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Mail or bring this form
along with payment to:
Chester
County
Council, B.S.A.
504 South Concord
Road
West Chester,
PA
19382
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