BTSR High Adventure Catalog - Buffalo Trail Council

2011 REGISTRATION FORMPLEASE PRINT!TROOP #: _____________ COUNCIL NAME: _____________________________________________SCOUTMASTER: ____________________________________________________________________ADDRESS: _________________________________________________________________________CITY: ____________________________________________ STATE: __________ ZIP: _____________HOME PHONE: _________________________ ALTERNATE PHONE: __________________________FAX: _________________________________ E-MAIL: _____________________________________PLEASE RESERVE MY TROOP A SPACE AT BTSR FOR THE FOLLOWING WEEK:CHOICE #1 ________________ 1. June 12 -18 5. July 10-16CHOICE #2 ________________ 2. June 19 - 25 6. July 17 - 23CHOICE #3 ________________ 3. June 26– July 2 7. July 24 - 304. July 3 - 9 8. July 31 - August 6PROGRAM CHOICESPlease enter your total participants per program choice.* REMEMBER to account for incoming Webelos. Space is limited in each area, and accurate numbers are needed.Participants Base Camp Outback Mtn. Man Cavalcade* Circle H CavalryADULTSYOUTHTOTALS* CAVALCADE must complete a separate application.In-Council Reservations begin 5/1/10. Out of Council reservations begin 6/1/10.2010 RESERVATION FEE ENCLOSED -- $250.00 is NON-REFUNDABLEEvery effort for reservation choices will be made depending upon the weekly limits of the camp and theprograms available.ENCLOSED IS A $250.00 CAMP USE FEE FOR MY TROOP RESERVATIONReceipt#_____________ Date_____________ Clerk___________________Mail to: Buffalo Trail Council Website: www.buffalotrailbsa.orgBTSR Reservation E-Mail: Eilda.Pacheco@Scouting.org1101 W. Texas Todd.Bennett@Scouting.orgMidland, TX 79701(432) 570-7601(432) 570-7611 Fax27