Nameless Creek Youth Camp, Inc.

Nameless Creek Youth Camp, Inc.
Reservation and Rental Agreement Worksheet

Organization: ____________________ Contact: _____________________

Contact address: _____________________________________________

City: ___________________ State: ___ Zip: ______ Township: ________

Phone: ___________________ Alternate phone: ____________________

E-Mail address: ______________________________________________

Dates of use: __________________ Annual Membership patron:  (yes)  (no)

*Shared Use*	*Per day*	*1^st night*	*Added day/nights*
*Area 1*	*Day camp $50*	*Day/night $75*	*Per day/night $50*
*Area 2*	*Day camp $50*	*Day/night $75*	*Per day/night $50*
*Area 3*	*Day camp $50*	*Day/night $75*	*Per day/night $50*
**	--------- $30.00 $ 5.00 each	$10 ---------- ----------	Per night @$10 ------------ ------------
*All areas*	*All Day $100*	*Day & night $125*	*Added day/nights $100*

Annual Membership patrons receive a 20% discount on all rental fees

*AREA(S)*	*DAY(S)*	*NIGHT(S)*	*CABIN(S)*	*TOTAL*	*PAID*	*CHECK #*	*CASH*
1, 2, or 3
All areas Private Use
Kitchen __________ Horse(s)	______	--------- _______ ----------	---------- ________ ----------	_________	______	______	______

Signature: ___________________ Date: __________________

All fees must be paid when submitting the reservation to reserve dates. Changes and adjustments
will be made as the need arises. Full refunds for cancellation will be made with a seven day notice.
Cancellation with less than seven days notice will result in a 50% refund. Cancellations due to acts
of God will be rescheduled or refunded in full.

If paying by check please make out to Nameless Creek Youth Camp, Inc. You may also use PayPal
online to send your debit or credit payment direct.

Submit reservation form online or print and and send with check to:

Nameless Creek Youth Camp, Inc.
PO Box 452
Greenfield, IN 46140

Online Registration/Reservation form

Printable Rental Reservation Form

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Strategic Plan 2011-2013

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Renovations 2011

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Nameless Creek Youth Camp, Inc.

Nature's gift for the enjoyment of the outdoors!