Council Name & # (required) :
Troop Number:

Campsite:
First Choice:
Second Choice:

Indicate the Week you plan to attend camp by checking one box: (2010 dates below)
Week 1
June 17 - June 23
Week 2
June 24 - June 30
Week 4
July 8 - July 14
Week 5
July 15 - July 21
Week 6
July 22 - July 28

Start Day Which day are you going to check in? Please check one. Saturday Sunday Monday
NOTE: Monday arrivals must be checked in by 10am


Number People Attending Camp:
Please indicate in the boxes how many adults and youth will be attending for each:

Camp Buffalo Bill:
Adults Youth
Fly Fishing:
Adults Youth

High Adventure
Backpacking:
Adults Youth
Whitewater:
Adults Youth
Climbing:
Adults Youth

We accept Visa, MasterCard, and Discover


Unit Point of Contact

Name:
Day Phone:
Fax:
Email Address:
Confirm Email Address:
Address:
City:
State:
Zip:

Scoutmaster (person going to camp if different than point of contact)

Name:
Day Phone:
Fax:
Address:
City:
State:
Zip:

I have read and understand the information in this guide.
I will ensure my troop complies with the guidelines set forth herein
Name of Unit Representative
Date




A deposit must be received within 10 days of submitting this form. $50.00 per person.
ALL FEES ARE NON-REFUNDABLE
We accept Visa, Mastercard, and Discover.