Please print and fill out

Troop/Pack #:____________   Group Name:____________________________ Total No. of People _________

Leader/Contact's Name:_______________________________ Leader/Contact's Phone #:_________________________

Tax Exempt Number ___________________________   Contact Email ______________________________________

Address:___________________________________  City:___________________________ State:________ Zip:_______________

Date of Arrival : ___________________________ Date of Departure:________________________

Package choice:    Weekend       Friday       Saturday

NOTE: No date is reserved until your deposit is received and is based on availability for that weekend.  $5.00 NON-refundable deposit per person payment must be paid 60 days prior to arrival. 

Blue River, WI 53518

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