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CAMP BETHEL's Labor Day Family Camp Weekend

September 4-7, 2009

Check Camp Bethel's weather forecast HERE.

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SITE UPDATED 3:00PM, SEPTEMBER 2!

SCHEDULE OF EVENTS, MEALS AND PROGRAMS:

Final, official weekend schedule will be the printed copies on the Office Porch.

Meals: 20% or $2 less than regular meal prices!  Meals will be served family-style in the Ark at the exact times below.

MEALS:  Call or e-mail by Friday August 28 to reserve your meals.

Adults:

Child (4-8):

Under 4:

Saturday BREAKFAST (8:00am)

$6.00 x ___

$3.00 x ___

$0 x ___

Saturday LUNCH (12:30pm)

$7.00 x ___

$3.50 x ___

$0 x ___

Saturday DINNER (5:30pm)

$8.00 x ___

$4.00 x ___

$0 x ___

Sunday BREAKFAST (8:00am)

$6.00 x ___

$3.00 x ___

$0 x ___

Sunday LUNCH (12:30pm)

$8.00 x ___

$4.00 x ___

$0 x ___

Sunday 5:30 Dinner is Potluck in the SBTS.  Bring a dish to share!  Camp

provides

drinks, cups

utensils, etc

Monday Brunch (9:00am)

$6.00 x ___

$3.00 x ___

$0 x ___

 

Announcements:

1.     Parents: Please supervise children in the gym and at all times around camp.  Bike helmets required; please, no night biking without lights.

2.     Deer Field Gym is open all weekend for games.  Return balls to bin, remove trash and turn off lights and close doors when not in use.  Parents: Please supervise children in the gym!  The bathrooms and gym facilities have been damaged and left extremely messy at past events by unsupervised children.  Caution: Keep fires controlled; watch for snakes (do NOT kill black snakes or water snakes); wear bear bells when hiking in remote areas.

 

 SCHEDULE:  Final, official weekend schedule will be the printed copies on the Office Porch.

Friday, September 4, 2009:

4:00-6:30pm

Pool Open Free admission.  Children under 8 must be accompanied by adult or older sibling.

5:00-6:00pm

Staff available in Camp Office for payments; checks or exact change please.

6:30-7:00

Trading Post Open: NEW TEES!  Hats, lanyards, blankets & more all at reduced prices.

7:00-7:30

Wagon Ride!  Meet in Ark parking lot at 7:00.  30 minutes.

8:00-9:00

FREE CONCERT!

VIRGINIA CAROLINA 

Concert at Hillside Auditorium: VIRGINIA-CAROLINA  Campfire + S’mores at Hillside (rain = fire at Shelter by-the-Spring).  Bring money for a free-will offering for the band's ministry; plus flashlights & marshmallow sticks.

Virginia-Carolina return to Camp Bethel's Hillside Auditorium, bringing their excellent blend of bluegrass and gospel.  Featuring Henry Boitnott on mandolin; Judy Boitnott on bass; Bob Booth on guitar; and Harvey Mays on banjo.

http://www.freewebs.com/vacarolina/index.htm

9:00 - ?

Late night pick-up jam session at Hillside around the campfire.  Bring your instruments.

 

Saturday, September 5, 2009:  (Meals only if you have reserved meals in advance.) Menus below.

Sat Breakfast, 8:00am ($6 adult; $3 child (4-8); under 4 free)

Sat Lunch, 12:30pm ($7 adult, $3.50 child (4-8) under 4 free)

Sat Dinner, 5:30pm ($8 adult, $4 child (4-8), under 4 free)

6:30-7:15am

Polar Bear Swim! at the pool.  Free admission.  Children under 8 must be accompanied by adult or older sibling.

7:30am

Morning Watch at the Big Spring.  Rain location is Hillside Auditorium.

8:00

BREAKFAST in the Ark: $6 adult; $3 children 4-8; please bus your own tables.

10:00-11:00

Staff available in Camp Office for payments; checks or exact change please.

10:30

Tour & discussion of camp's new Water System & building.  Meet Barry & Tim on gravel road beside dumpsters at 10:30am.  Children under 8 must be accompanied by adult or older sibling.

10:30

Family Craft in the Craft House with Hannah & Katie (materials provided and donations accepted).

12:30pm

LUNCH in the Ark; $7.00 adult; $3.50 children 4-8.  Please bus your own tables.

1:00-5:15

Pool Open.  Free admission.  Children under 8 must be accompanied by an adult or older sibling.

2:30

High Ropes Course Sampler with Julie, Ron & Sam for ages 11+ with a parent.  Minors under the age of 18 must be accompanied by a parent in order to sign the required participation waiver. Parents may participate OR watch, but all present will be encouraged to help the belay team from the ground.  Limit 20 participants. FREE (accepting donations for replacement equipment; checks payable to CAMP BETHEL; memo HIGH ROPES). Wear closed-toed shoes, tucked-in shirts, bring your water bottle, and use the bathroom BEFORE you walk up the hill.  Be there at 2:30pm, no earlier, no later.

5:30

DINNER in the Ark, $8 adult; $4 child 4-8; 0-4 free.  Please bus your own tables.

6:00-6:30

Trading Post Open

6:40-7:00 Singing Camp Songs at Hillside!  For all campers and families:  Come and hear/learn those songs your camper-kids sing all summer!  Leadership by 2009 Summer Staff.

7:00-7:45 and continuing?

Unplugged Open Mic & Sing-along at Hillside!  Campfire + S’mores (also at Hillside).  Bring instruments, flashlights & marshmallow sticks.  Bring your talent/no-talent for a fun hour of watching and hearing from the NEW and OLD talent.

8:00pm

 

GO HOKIES!

 

Virginia Tech vs Alabama football game on the big screen on the lawn at Hearthstone Cottage.  Bring your lawn chairs or blankets for the best stadium seats!  Also bring snacks & sodas to share on the "Tailgate Table".  Bring your flashlight for the walk back to your campsite (or your parking space.)

 

Sunday, September 6, 2009 (Meals only if you have reserved meals in advance.) Menus below.

Sunday Breakfast, 8:00am ($6 adult, $3 children (4-8), under 4 free)

Sunday Lunch, 12:30pm ($8 adult, $4 children (4-8), under 4 free)

5:30pm  Pot-Luck Dinner in the Shelter-by-the-Spring: Bring a dish to share & a big appetite!  Camp Bethel will provide drinks, ice, plates, cups, utensils, napkins.

7:30am

Morning Watch at the Big Spring.  Rain location is Hillside Auditorium.

8:00

BREAKFAST in the Ark.  $6 adult; $3 child 4-8; Please bus your own tables.

9:10

Wagon Ride to New Bethel departs from the front gate.

9:30

Sunday Morning Worship and singing at New Bethel Church of the Brethren.  1 hour.  All camp guests are invited to worship this morning at New Bethel CoB, a short walk from Camp Bethel.  Bring an offering to help New Bethel's ministries.

12:30pm

LUNCH in the Ark, $8 adult; $4 child 4-8; under 4 free;

1:30-5:15

Pool Open.  Free admission.  Children under 8 must be accompanied by an adult.

3:00-4:00

Family Craft in the Craft House with Sue Wilson

4:00-5:00

Staff available in camp office for payments; checks or exact change please.

5:30

Pot-Luck DINNER in Shelter-by-the-Spring.  Bring a food item and enjoy great shared fellowship.  Camp Bethel will provide drinks, cups, plates, utensils & paper products.  Everyone is invited, on site and off site!

6:20 & 6:50

Wagon Rides in camp & into TB2; 20 min; meet at Shelter-by-the-Spring at 6:20 or 6:50.

7:30-9:00

FREE CONCERT

BAND OF

BRETHREN

Concert at Hillside: BAND OF BRETHREN  Campfire + S’mores at Hillside Auditorium.  Bring money for free-will offering (to offset Camp Bethel's expense for the band) and for CDs.  Don't forget flashlights & marshmallow sticks.

9:30 - ?

Late night pick-up jam session for everyone at Hillside around the campfire.

 

Monday, September 7, 2009, Labor Day (Meals only if you have reserved meals in advance.)

Monday Brunch, 9:00am ($6.00 adult, $3 children (4-8), under 4 free).  Menu below.

8:00-8:30am

Polar Bear Swim!  LAST SWIM SESSION OF SUMMER!  Free admission.  Children under 8 must be accompanied by adult or older sibling.  (Due to a guest group later this week, we will NOT yet put the cover on the pool.)

9:00

BRUNCH in the Ark.  $6 adult; $3 child 4-8; Please bus your own tables.

10:30-11:30

Staff available in camp office for payments; checks or exact change please.

End of scheduled activities

You are welcome to remain at camp through Tuesday afternoon, though no direct services will be available.  Enjoy your holiday, and enjoy your Camp!

 

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Labor Day Family Camp Weekend

MEAL MENUS:  Call or e-mail by Friday, August 28 to reserve your meals.

 

Saturday, September 5, 2009: Meals will be served FAMILY STYLE at the exact times listed below.  Please be on time!

Sat. Breakfast 8:00am  Baked eggs w/ cheese, Hash browns, Ham, Coffee cake, Citrus fruit, Juice, Coffee, Water and condiments.  ($6.00 adults; $3 children (4-8); under 4 free.)

 

Sat. Lunch, 12:30pm Salad, BBQ Pork Riblets, Roast chicken thighs, Chef’s choice starch and vegetables, Sherbet, Lemonade, Tea, water.  ($7.00 adult;  $3.50 children (4-8); under 4 free.)

 

Sat. Dinner, 5:30pm Salad, Chicken tenders, Roast beef au juice and horse radish sauce, Chef’s choice starch and vegetables, Strudel, Lemonade, Tea, water ($8.00 adults; $4 children (4-8); under 4 free.)

 

Sunday, September 6, 2009: Meals will be served FAMILY STYLE at the exact times listed below.  Please be on time!

Sun. Breakfast 8:00pm  Biscuits, Sausage, Gravy, Potatoes, Stewed apples, Juice, Coffee, water and condiments   ($6.00 adults;  $3.00 children (4-8);   under 4 free)

 

Sun. Lunch 12:30pm  Salad, Chicken in lemon sauce, Roast pork loins, Mashed potatoes, Chef’s choice vegetables, Trifle, Lemonade, Tea, water  ($8.00 adult;  $4 children (4-8);  under 4 free)

 

Sun. Dinner 5:30pm POT-LUCK in Shelter by the Spring  Bring a dish to share and a big appetite!  Camp Bethel will provide drinks, ice, plates, cups, utensils, and napkins.

 

Labor Day, Monday, September 7, 2009: Meals will be served FAMILY STYLE at the exact times listed below.  Please be on time!

Monday Brunch, 9:00am  Baked eggs, Sausage, French toast sticks w/ vanilla sauce, Potatoes, Coffee cake, Bread, Cheese plintzes in strawberry sauce, Juice, Coffee, water and condiments.  ($6.00 adults;  $3.00 children (4-8); under 4 free. 

Call or e-mail by Friday, August 28 to reserve your meals.

 

 

 

 

 

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ADDITIONAL (and much repeated) INFORMATION:

Payment:

For meals, lodging or camping, plan to “settle” with staff in the camp office at one of the following times:

5-6pm Friday   or   10-11am Saturday   or   4-5pm Sunday   or   10:30-11:30am Monday.

Please complete the enclosed payment form and present it to Ruth at your time of payment.  Please pay by check, credit card (+3% surcharge) or with exact change as we do not keep cash in the office.  If you cannot make payment at one of these times, we will bill you via post mail.  You may also pay in advance if you wish.  Include payment for meals, lodging, and camping in your total payment.  Pay for ice at the time you get it (after meals in the Ark, $2 per bag.)

LABOR DAY 2008-2010 PAYMENT & RESERVATION FORMS NOW AVAILABLE HERE IN PDF!

 

To reserve your spot for future holiday weekends:  Because of the growing popularity of our holiday family weekends, you MUST complete a RESERVATION FORM for each upcoming holiday weekend and pay the minimum deposit to reserve your lodging.

 

What to Bring:

Bring some extra cash or your check book for CDs at our concerts AND to donate toward a free-will offering at each concert to offset performer expenses for Camp Bethel.

- flashlight   - linens, bedroll or sleeping bag   - bike(s) & bike helmet(s)   - hiking/walking shoes   - musical instrument

- clothes fit for the weather   - swim suit   - food as needed   - rain (?) gear     - camera    - marshmallow sticks (for evening campfires)

- checkbook or exact cash for payments, Trading Post & concert offerings        - games and all your family traditions 

- old Camp Bethel photos

 

When You Arrive:

Go ahead and move in and begin enjoying your weekend.  From now on RV campers are required to call ahead to reserve specific sites (see RV camping information for specific sites).  RV campers may set up anywhere, but please respect public access areas (stay clear of shelters, roads and bathhouses) and share hook-ups when camping off of established sites.  Tent campers should not pitch tents on an RV site.  As a tent camper, you may pitch your tent wherever you like and however remotely you wish.  Please park on paved surfaces only, if possible.  Also, please limit vehicular traffic through camp to ensure the safety of pedestrians and families on bicycles.  Camp speed limit is 5 mph.

 

Suggestions for RV’s & Tents:

Obviously, we have a limited amount of RV sites and full hook-ups.  From now on RV campers are required to call ahead to reserve specific sites (see RV camping information for specific sites).  Please consider camping near the camp entrance with electric and water hook-ups.  Please do not park RVs around the Cave Trail Picnic Shelter; use the field above.  If you have not reserved an RV site please consider parking the RV and walking around camp to scout out available electrical plugs (check light poles and buildings for outdoor plugs).  If possible, avoid running an extension cord from an indoor plug through a window.  Please use dual spigots to share water spouts.

Tent campers may pitch anywhere, but please avoid public access areas.  Try our new acreage behind and beyond the Craft Cabin.

 

While You’re Here & Before You Leave:

In a continuing effort to reduce our energy costs, please turn off lights & fans when not in use and don’t over-light buildings or areas, don’t overheat rooms, and be sure water is not running.  Quiet hours are 9:00pm through 8:00am.  Upon departure, turn off heat, lights, fans, and please take your trash to the dumpsters beside the Retreat Center.  Any cleaning you can do in your cabin/lodge saves Camp Bethel time and money.  Please try to be as self-sufficient as possible during your stay; most of you know where on camp to find the things you need.  Thank you for helping us by helping yourselves.

 

Meeting Your Needs:

Please try to be as self-sufficient as possible during your stay.  Most cabins & lodges have closets with extra paper supplies and cleaning supplies.  Extra toilet paper and paper towels are in closets or the Ark Staff room if needed.  Thank you for helping us by helping yourselves.  If you have questions or needs please feel free to contact one of the on-site staff.  It is helpful to us if cabin/cottage/lodge users make a written list of the supplies and repairs you find each facility may need.

 

Schedule of Events and Programs:  See our schedule page.  All scheduled activities are optional.

 

Sunday Pot-Luck Dinner:

Please attend Sunday at 5:30pm at the Shelter-by-the-Spring.  Bring a food item for four persons.  Camp will provide drinks, ice, cups, plates, utensils, serving utensils, paper products.  Stay through the evening for an 8:00pm free concert.

 

Safety and Supervision of Children:

Please check on your children often.  We require use of bike helmets for young riders.  Equip children with flashlights after hours.  Please, no biking after dark.  Please note that cabins and lodges have cleaning closets with cleaning chemicals.  The best child-proofing and child-safety measure we have is parent supervision.

 

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SPECIAL PRICING: Please circle and tally fees according to your plans.

Call (540) 992-2940 to reserve your campsite and your spot!

 

SPECIAL REDUCED RATES: Only available for these special weekends!

Call (540) 992-2940 to reserve your spot & meals!  Please reserve your meals by Friday, August 28

 

Cabins: Daleville, Friendship Haven, Pleasant View, Stone HOP Bunkhouse (14), Whispering Pines, Willoro  (bathhouse next door)

 

Fri night

Sat night

Sun night

Mon night

1, 2 or 3 persons

$12.00

$12.00

$12.00

$10.00

4, 5, 6 or 7 persons

$14.00

$14.00

$14.00

$12.00

8 – 12 persons

$18.00

$18.00

$18.00

$16.00

 

Cottages Blue Birds’ Nest, Carolina Haven (10), Forest Lodge, Wildwood & Bethel Lodge  (bathroom(s) in each)

 

Fri night

Sat night

Sun night

Mon night

1, 2 or 3 persons

$19.00

$19.00

$19.00

$14.00

4, 5, 6 or 7 persons

$22.00

$22.00

$22.00

$16.00

8 – 12 persons

$26.00

$26.00

$26.00

$20.00

 

Heritage Lodge Bedroom + Bathroom 1, 2, 3 or 4:

 

Fri night

Sat night

Sun night

Mon night

1, 2 or 3 persons

$19.00

$19.00

$19.00

$14.00

4, 5, 6 or 7 persons

$22.00

$22.00

$22.00

$16.00

8 – 14 persons

$26.00

$26.00

$26.00

$20.00

 

Health Retreat Center (HRC), Room 1, 2, 3, 4, 5, 6 or 7:  (each 2 rooms share a bath)

 

Fri night

Sat night

Sun night

Mon night

1 or 2 persons

$20.00

$20.00

$20.00

$18.00

 

Camping:  (all bathhouses are open for use)

 

Fri night

Sat night

Sun night

Mon night

Tent site: per tent

$5.00

$5.00

$5.00

$3.00

RV not on sites C1-12

or A-B (ex: field camping)

$5.00

$5.00

$5.00

$3.00

 

RV sites C1-6; A, B,

RV sites C7-12

$10.00

$10.00

$10.00

$8.00

 

Wilson Creek Adventure Village Platforms: Blue or Green Platform

 

Fri night

Sat night

Sun night

Mon night

Platform + 1-4 persons

$5.00

$5.00

$5.00

$3.00

Platform + 5-12 persons

$10.00

$10.00

$10.00

$8.00

 

Other Services:

Large bag of ice; available at the Ark Dining Hall after scheduled meals

$2 per bag

Swimming Pool open FREE to overnight guests, see schedule for times

Donations accepted

Concerts at Hillside Fri, Sat & Sun night FREE to guests and public

Donations accepted

 

CALL TODAY TO RESERVE YOUR CAMPSITE AND YOUR SPOT! (540) 992-2940

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PAYMENT FORM:

For meals, lodging or camping, plan to “settle” with camp staff in the camp office at one of the following times:

 

5:00-6:00pm Friday  or  10:00-11:00am Saturday  or 4:00-5:00pm Sunday  or  10:30-11:30am Monday

 

Please complete this payment form and present it to Ruth at your time of payment.  Please pay by check, credit card (+3% surcharge) or with exact change as we do not keep cash in the office.  If you cannot make payment at one of the above times, we will bill you via post mail.  You may also pay in advance if you wish.  Include payment for meals, lodging, linens and camping in your total payment.  Pay for ice at the time you get it (after meals in the Ark, $2 per bag.)

CONTACT PERSON OF PARTY:________________________________  TOTAL NUMBER IN PARTY: _______

MAILING ADDRESS:________________________________________  TELEPHONE NO.: _______________

                             ____________________________________________

E-MAIL: _______________________________________________________

NAMES OF OTHER PARTY MEMBERS: _________________________________________________________

NAME OF CONGREGATION: ______________________________________

Fill in the blanks and totals according to the RATES page and your usage:

MEALS: Write the number of persons per meal in the blanks.

MEALS:  RSVP by August 28

Adults:

Children (4-8):

Under 4 Free:

Saturday BREAKFAST (8:00am)

$6.00 x ___

$3.00 x ___

$0 x ___

Saturday LUNCH (12:30pm)

$7.00 x ___

$3.50 x ___

$0 x ___

Saturday DINNER (5:30pm)

$8.00 x ___

$4.00 x ___

$0 x ___

Sunday BREAKFAST (8:00am)

$6.00 x ___

$3.00 x ___

$0 x ___

Sunday LUNCH (12:30pm)

$8.00 x ___

$4.00 x ___

$0 x ___

Monday Brunch (9:00am)

$6.00 x ___

$3.00 x ___

$0 x ___

 

LODGING: Write the name of where you lodged and the corresponding # of persons per night. See RATES on back of this page.

Write name of the cabin, cottage or lodge you used:

Fri night # persons

Sat night # persons

Sun night # persons

Mon night # persons

 

 

 

 

 

 

 

 

 

 

 

CAMPING (RVs or Tents): Write the number of sites you used per night.

 

Fri night

Sat night

Sun night

Mon night

# tent sites =

$5.00

x ____

$5.00

x ____

$5.00

x ____

$3.00

x ____

RV not on sites C1-12

or A-B (ex: field camping)

$5.00

x ____

 

$5.00

x ____

 

$5.00

x ____

 

$3.00

x ____

 

# RV sites C1-C12

or A-B =

$10.00

x ____

$10.00

x ____

$10.00

x ____

$8.00

x ____

 

 

Totals:             Meals:             $___________                     Checks payable to CAMP BETHEL.

                        Lodging:          $___________

                        Camping:         $___________                     Camp Bethel, 328 Bethel Road

                        Other:             $___________                     Fincastle, VA 24090   (540) 992-2940

                                                                                             www.campbethelvirginia.org                                                                                                                                                       

TOTAL FEES:                           $___________                     camp.bethel@juno.com

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Reservation Form: 2009-2011 holiday weekends at Camp Bethel:

DEPOSITS ARE NON-REFUNDABLE.  No deposit necessary for tent camping or “dry” RV camping.  Return this completed form and minimum deposit for your lodging and mail both to camp OR give to staff in the camp office at one of the payment times.

 

STEP 1: FILL IN YOUR CONTACT INFORMATION.

LAST NAME: _______________________, FIRST ___________________  TOTAL NUMBER IN PARTY: ____

MAILING ADDRESS: _______________________________________________  PHONE #: _______________

______________________________________________________________     CELL #: _________________

E-MAIL: _______________________________________________________

NAMES OF OTHER PARTY MEMBERS: _________________________________________________________

NAME OF CONGREGATION: _______________________________________________

 

    STEP 2:  CHECK FUTURE AVAILABILITY on the latest RESERVED FACILITIES GRID, posted on the Camp Office front porch, posted HERE or one of several copies inside the office.  Good Neighbor Clause regarding reservations for 2011 Weekends: Families present have first right of refusal to reserve (with a minimum deposit) their present-pattern-use facilities through Labor Day 2011 until Monday 10:30am.  After Mon, September 7, 2009, 10:30am, the said facility is open for any other family to reserve.

 

Special reduced rates are for Memorial Day and Labor Day weekends only.  Minimum Deposit per night is the special reduced fee per night, so YES, you are paying in-full to reserve future dates.  Note a slight increase in facility deposits for 2010-2011.  New “RV Village” & “New Cottage” prices TBA.

 

STEP 3:  PLACE YOUR RESERVATION: In the chart, write the name of the facility or RV site you wish to reserve for the upcoming listed holiday weekends.  Also circle what nights you’ll be here for each.

 

 

FACILITY

MIN

DEPOSIT

FOR

2009

Write name of

facility or RV site

to RESERVE

LAB DAY 2009:

MIN

DEPOSIT

FOR

2010-2011

Write name of

facility or RV site

to RESERVE

MEM DAY 2010:

Write name of

facility or RV site

to RESERVE

LAB DAY 2010:

Write name of

facility or RV site

to RESERVE

MEM DAY 2011:

Write name of

facility or RV site

to RESERVE

LAB DAY 2011:

Daleville,

Fdship Hven,

Pleasnt View,

Stone HOP,

Whisp Pines,

Willoro

 

 

$14

 

 

 

$16

 

 

 

 

Bethel Ldge,

Pineview,

BBirds’ Nest,

Caro Haven,

Forest Ldge,

Wildwood,

Heritage

  Rms 1-4

 

 

$22

 

 

 

$25

 

 

 

 

HRC Rms 1-7

 

$22

 

$25

 

 

 

 

RV Sites C1-C12

or A-B

 $10

 

$12

 

 

 

 

RV NOT on sites C1-C12

or A-B (ex: field camping)

$5

 

$8

 

 

 

 

What days?

 

Circle:

Fr  Sa  Su  Mo

 

Circle:

Fr  Sa  Su  Mo

Circle:

Fr  Sa  Su  Mo

Circle:

Fr  Sa  Su  Mo

Circle:

Fr  Sa  Su  Mo

 

STEP 4: CALCULATE & PAY your minimum deposits:

1.      2009: Multiply your minimum deposits per night by the total number of nights you’ll be staying in 2009: $____

2.      2010: Multiply your minimum deposits per night by the total number of nights you’ll be staying in 2010: $____

3.    2011: Multiply your minimum deposits per night by the total number of nights you'll be staying in 2011: $____

4.    Add figures from lines 1+2+3 = $______.  This is your total deposit, payable to CAMP BETHEL.

 

DEPOSITS ARE NON-REFUNDABLE.  For payments by credit card, we must add a 3% surcharge to your total payment.

DEPOSIT PAID: $___________         CHECK #: _______      STAFF CONFIRM: _______          DATE: __________

 

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