Team Challenge Course Reservation Form

Please print out this form and mail with fee to:

TCC Reservation - GSRBC - #4 Ginger Creek Parkway - Glen Carbon, IL 62034

Leader's/Advisor's Name____________________________________________________________________

Address________________________________________City___________________________Zip_________

Phone (D)____________________________________________(E)__________________________________

E-Mail ___________________________________________________________________________________

Troop #__________  Program Level____________________  Neighborhood____________

Requested Date, Time and Session:

Date____________________________________  Time______________

 

(         per girl)   (  ) 2-Hour Session: Specify location______________________________________________

(         per girl)   (  ) 3-Hour Session only available at Camp Torqua

(         per girl)   (  ) 6-Hour Session only available at Camp Torqua

 

Alternate Date____________________________  Time______________

Number of Participants:

__________ Youth

 

__________  Adult

 

__________  Total Participants   X   $_____________ = $___________Total Amount Due

                                                             (Fee per person)

This page last edited on Wednesday March 14, 2007.

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