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2016 Camp Shands Troop Reservation Form<br />
(Individual campers use separate form)<br />
Please visit www.campshands.org to pay your $200.00 deposit online today or return this<br />
form with payment to the North Florida Council.<br />
Unit Type and #____________ Council_______________________ District____________________________________<br />
We will have ________ Scouts and ________ Adults Attending Camp<br />
(Please provide a reasonable estimate of the number of scouts and adults attending camp. Please update our Camp<br />
Department as changes occur, please see rules on participant number changes).<br />
Troop Contact: _________________________________________<br />
Phone: _______________________<br />
Address:_________________________________________________________________________________<br />
Alternate Phone (Cell): __________________________<br />
Email: ________________________________<br />
Week # Unit will be attending ________ Campsite Preference: ________________________________<br />
Check www.campshands.org for site availability<br />
A deposit of $200.00 reservation is required,<br />
if requesting tree houses an additional deposit of $10.00 per person is attached.<br />
PAYMENT METHOD: CASH<br />
CHECK * VISA MASTERCARD DISCOVER AMERICAN EXPRESS<br />
Make Checks payable to North Florida Council, BSA (*When you provide a check as payment, you authorize us either to use infor-<br />
mation from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transac-<br />
tion.)<br />
Name as it appears on Card: __________________________________________________________________<br />
CC #:________________________________________________________________________________________<br />
Expiration: ____________ 3 or 4-Digit 4<br />
Code: __________ Zip Code _____________<br />
Signature for Authorization:____________________________________________________________________<br />
For more information on campsite assignments and refund policy visit www.campshands.org<br />
Send all payments to:<br />
North Florida Council, BSA,<br />
Attn: Camp Shands Reservations 2015,<br />
521 Edgewood Ave S,<br />
Jacksonville, FL 32205.<br />
Please contact me about members of my troop attending RiverQuest.<br />
Please find more information about RiverQuest at www.campshands.org<br />
NOTE: By subming a registraon form, you are authorizing the North Florida Council, BSA to take photos of your Scout and family for promoonal<br />
purposes ONLY. Photos will not be sold or ulized for any use outside of youth and volunteer recruitment by the North Florida Council, BSA.
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