ccc...ooo...ppp...eee... rrreeessseeerrrvvvaaatttiiiooonnn fffooorrrmmm

Circle 10 CouncilBoy Scouts of AmericaToday’s Date:Council:C..O..P..E.. RESERVATIION FORMUnit:Other Organization:Youth Participants:Preferred Date1:Adult Participants:Preferred Date2:Course Fees:All course fees must be paid 7 days prior to scheduled course.$320.00 First 8 Participants$40 each additional participant( ) Advance Pay Discount for Circle 10 BSA Units (25%)Total Fees Due to Circle Ten CouncilRefund Policy: 100% 7 Days prior to course75% 72 hours prior to course50% Day of the course (prior to 5:00 p.m.)To cancel you must contact Bryce Backers @ 214.202.2066 or your scheduled C.O.P.E. Director.No refund will be given after 5:00 p.m. day of course.If the COPE Director/Circle Ten Council cancels the course, the course will be rescheduled.Primary Unit Leader (Contact prior to course and billing contact)Leader Name:E-Mail Address:Phone (Day)Phone (Evening)Course Weekend Unit Leader (only if different)Leader Name:E-Mail Address:Phone (Day)Phone (Evening)Return Form to:Circle Ten Council, Camping Reservations8605 Harry Hines Blvd.Dallas, TX 75235ORPhone: 214-902-6764Fax: 214-902-6765Bryce BackersCircle 10 Council C.O.P.E. Directorc10cope@gmail.comRev: 02/11

Circle 10 CouncilBoy Scouts of AmericaC..O..P..E.. PAYMENT AUTHORIIZATIIONThis form should be faxed to Circle 10 Council Camping Reservations at 214-902-6765 ONLY! Nopayments can be accepted at camp the day of course. If you prefer to charge by phone, please call 214-902-6764.I authorize Circle Ten Council to bill the following credit card for all C.O.P.E. fees.Unit:Course Date:Credit Card Number:Expiration Date:Name on Card:Billing Address:City/State/Zip:Signature:An invoice showing the final billing and payments will be e-mailed to the primary unit leader on theMonday following the course. Any unpaid fees will be charged to the credit card the Monday after thecourse as well.Rev: 02/11