Summer Camp Application Form
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1Quail Hill Reservation 2016 Summer Camp Application
Monmouth Council
Boy Scouts of America
“Space Adventure”
Name _________________________________________ Pack _______ Council ____________________________
Address __________________________________ City _______________________ St _______ Zip ___________
Birth Date _____ / _____ / _____
Entering Grade __________
Scouts Rank at Camp _________________
Parent/Guardian Name ____________________________________ Email ________________________________
Home Phone _____________________ Work Phone _____________________ Cell Phone ___________________
T-Shirt Size (Circle) Adult Sm Adult Med Adult Lg Adult XL (If no size is indicated Adult Sm will be given)
NOTE:
A password is needed to pick up your
child.
Please indicate password to be used: __________________
BUS STOP SELECTION: ______________________________________________________________________
The bus routes will depend on sign-ups and will be posted on the Quail Hill Scout Reservation website:
Bus Stop confirmations and schedule will be sent to all bus riders one week prior to scouts arrival at camp
Cub Scout Day and Resident Camps (
Check all that apply. Write in # attending Barbecue.)
All Six
W
e
k e
1
Week 2
Week 3
Week 4
Week 5
Week 6
For boys and girls entering 1st Grade
through 5th grade in September 2016
Weeks
July 11-15
July 18-22
July 25-29
Aug 01-05
Aug 08-12
Aug 15-19
Day Camp
$265
$265
$265
$265
$265
$265
$1325*
(girls and boys)
Session #2
Session #1
Session #3
July 26-29
July 31-Aug 05
Aug 09-12
Full Week Resident Camp
N/A
N/A
N/A
$325
N/A
N/A
N/A
(Webelos only)
Half Week Resident Camp
$220
N/A
$220
N/A
N/A
N/A
N/A
(boys only)
Day/Resident Camp Combo
$325
$325
N/A
N/A
N/A
N/A
N/A
(boys only)
Early Bird Discount
-$15
-$15
-$15
-$15
-$15
-$15
N/A
(pay in Full by May 2, 2016)
N/A
-$10
-$10
-$10
-$10
-$10
Multi-Week Discount
N/A
Bus - $65 (Day Camp Only)
Camp Care
$75
$75
$75
$75
$75
$75
$450
#____x$8
#____x$8
#____x$8
#____x$8
BBQ (camper is free)
#____x$8
#____x$8
= _____
Late Fee
(payments made
$10
$10
$10
$10
$10
$10
$10
Total
after June 13, 2016)
$_______
$_______
$_______
$_______
$_______
$_______
$_______
$_______
Each session/week price includes a $50 non-refundable deposit.
*Multi-Week Discounts does not apply to already discounted rate
st
nd
Den Friend(s) [Must be in same grade] 1
Choice ____________________
2
Choice ____________________
st
nd
Tent Partner: 1
Choice ___________________
2 Choice ____________________
Charge to:
Visa
MasterCard
Discover
American Express.
Amount Enclosed $ _____________
Account # _____________________________Sec Code_______ Exp. __________ Signature ___________________________
or Make checks or money orders Payable to Monmouth Council, BSA • Mail to: 705 Ginesi Drive, Morganville, NJ 07751
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