Junior Girl Scouts Reservation Form

Suggestion: upon completing this form phone 800-515-4150 and review your plans with Lillian. This may save you a problem later on.  Mail to: Reservations, Laurel Caverns, P.O. Box 62, Hopwood, PA 15445

Please Note:  All caving and patch/badge programs are a 6 scout minimum

Classes will not be set up until 6 paid reservations are received.

We would like to make reservations for :

q The Junior Rocks Rock (Geology) Badge at q10 AM q2 PM on _______________, the _____ of _______________, 2010.  We have included a prepayment for _____ Scouts and sibling participants at $14 each and _____ adult observers at $9 each for a total of $__________.

q The Junior Earth Connections (Ecology) Badge at q10 AM q2 PM on _______________, the _____ of _______________, 2010.  We have included a prepayment for _____ Scouts and sibling participants at $8 each for a total of $__________.

q The Junior Cave Explorer Badge   at q10 AM  q2 PM  on _______________, the _____ of __________2010.                                        We are aware the parents must sign the Junior caving release form and                                                                                                                 q have downloaded the Upper Caving Release Form                                                                                                                                                                 q wish you to mail ______ preprinted forms to us at the address below.  We have included a prepayment for _____ Juniors and sibling participants at $17 each and _____ adults at $17 each for a total of $__________.  (Minimum age for this program is nine years.)

q The Junior Adventure Sports Badge at q10 AM q2 PM   on _______________, the _____ of _______________, 2010.            We are aware the parents must sign the Upper Caving release form and                                                                                                                  q have downloaded it from the Juniors page                                                                                                                                                                              q wish you to mail ______ preprinted forms to us at the address below.  We have included a prepayment for _____ Juniors and sibling participants at $17 each and _____adult participants at $17 for a total of $__________.  (Minimum age for this is nine years.)

q Camping . We will be arriving on _______________, the _____ of _______________, and departing on _______________, the _____ of _______________, 2009 with approximately _____ campers.  We will pay the $5 per person per night camping fee when we check in at N. E. Cale Visitors’ Center for the above activities.  We understand that we will settle-up at that time for reasonable adjustments, up or down, in the numbers above.  We are aware cancellation is available at anytime up to three days prior to the scheduled activity.  There will be a 6% charge on any credit card amount refunded.

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Troop Number:________ Contact Person: __________________________________

Phone: Day(_____)(_____-_______) Eve(_____)(_____-______)Cell (___) (___-____)

Address:________________________________________________________________

qcheck enclosed for $__________ q Please bill our credit card for $___________

Card Number __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ exp: ___/___ and

                                                  3 digit verification number ____  ____   ____(on the back of the card)