Twin Rivers Council, Boy Scouts of America PHONE:  (518) 869-6436
253 Washington Avenue Extension FAX: (518) 869-6439
Albany, New York  12205 E-MAIL ADDRESS:  (Not available)

CAMP BOYHAVEN USE APPLICATION FORM

        
INSTRUCTIONS: a.  Call the Service Center to make your reservation
b.  Complete this application 
c.  Submit the application and facility rental fee to Twin Rivers Council at the above address
d.  Bring a $25 Damage Deposit with you to Camp; it's due to the Ranger when you arrive
e.  A confirmation letter will be sent to the Leader named on the form
         
Date of the Event: _________________  Type of Event: ______________________________

(Pre-approval MUST be obtained from Ranger to arrive before 6:00 PM Friday or to stay after noon on Sunday)
Arrival Date: _______  Time: _______  Departure Date: _________ Departure time: ________
                     
Unit/Organization: _______________________ District/Council: _____________________
         
Attending:  Boys: ___   Girls: ___        Male Leaders/Adults: ___   Female Leaders/Adults: ___
        
Facilities Reserved (specify cabin or campsite): Other Use (check all that apply)
     Cabin(s): ___________________________________      _____ Day Use only
     Lean-to Campsite: _____________________________      _____ Dining Hall/Kitchen
     Tent Camping: _______________________________      _____ Dining Hall only
     _____ Campfire/Picnic Area
Primary Leader in Attendance:
     Name: _____________________________________ Position: __________________
     Address: ___________________________________ Home Phone: _______________
     City/State/Zip: ______________________________ Work Phone: _______________
             
PAYMENT: (All facility fees are payable when application is submitted) Fee Paid: $________________
   _____ Check attached (Check # _____________)
   _____ Charge my Unit Account (cannot be done at Camp)
       _____ MasterCharge: ________________________ Expiration Date: _____________
       _____ VISA: _______________________________ Expiration Date: _____________
        
CAMP FACILITY RENTAL FEES ARE NOT REFUNDABLE, BUT MAY BE TRANSFERRED TO ANOTHER DATE AND/OR TO ANOTHER TRC CAMP, PROVIDING THE CHANGE NOTICE IS GIVEN AT LEAST TWO WEEKS PRIOR TO THE ORIGINAL RESERVATION DATE.  THIS FORM MUST BE SUBMITTED TO THE COUNCIL SERVICE CENTER AT LEAST TWO WEEKS PRIOR TO ARRIVAL AT CAMP OR A $10 LATE FEE WILL BE ADDED TO THE FACILITY RENTAL FEES.
         
    I certify that I am aware of the Boy Scouts of America's current two-deep leadership policy and will have approval of our chartered partner for all leaders participating in this outing.  I have read a copy of the Camp Rules and Regulations and agree to follow them.
        
SIGNATURE of Primary Leader: _____________________________ Date: ______________
          
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FOR OFFICE USE ONLY:
     Approved by: ___________________________________________________  Date: _______________
     Date confirmed: ______________________________  Date Cancelled: __________________________
     $25 Damage Deposit Returned to:  ____________________________________ Date: _______________