Today’s Date_________________

Group______________________________________________________

Contact Person_______________________________________________

Phone numbers; organization____________________________________

                        Contact person ____________________________________

Mail address _________________________________________________

                        _________________________________________________

Email _______________________________________________________

Requested dates; confirmation sent by phone or email

            First choice_________________ Second choice ________________

GROUP DESCRIPTION; estimated size of group _____________________

Age breakdown: Adults ____________ Minors __________________

Number of tents __________________  RVs  ___________________

Purpose and type of outing: ______________________________________

            Types of activities: ________________________________________

Requested services: Cook ____ Activity help ____ Retreat program _______

            You will be contacted to arrange details of extra services.

REGULATIONS:

Have you read and are you prepared to sign the attached contract? _______

Will the liability releases be signed and delivered at start of camp? ________

Note: Bear River Camp does not supply medical personnel for camp sessions.

FEES:  $250- Per night for groups up to 50 campers.

              $   5- Per camper, per night beyond 50 campers.

            Deposit: 50% with application of which $50- is non-refundable.

            Balance of deposit is refundable until 30 days before occupation date.

Mail payment to:       Bear River Camp

                                    7882 S. Deer Creek Rd.

                                    Salt Lake City, Utah 84121

Make a copy of this form for your records.

************************************** OFFICE USE *************************************

Date confirmed ____________________ Contract received _______________

Fees; Total estimate $_______________ Deposit $ _____________________

            Balance due $_______________ Received $ ____________________

Liability releases received ________________________________________