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Unit Name: 
Number and Town Name

Your group is from: 

Requested Arrival Date: 

Requested Departure Date: 

Expected number of youth campers: 

Expected number of adult campers: 

Camp Area(s) Requested: 


Indicate multiple areas if necessary

Your Name: 

Address: 

Town/State/Zip: 

Phone: 

Email: 
Confirmation form will be sent via email if an address is supplied

Other Information 

All up to 4 days for a reply.

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