If you can’t make out the reCaptcha, click on the

to get a new one.

When you are done, fill in the Recaptcha on the left and click the Submit button.

1. Dates for use:                      * = required fields

                                                 Arrive                                    Depart

*First Choice

*Second Choice

2. *Name of Organization

Organizational contact information:

*Name

*Address

*City, State, Zip

*Telephone

*E-mail address

3. Specific Purpose of Camp Use

4. *On-site Leader of Group

Address

City, State, Zip

*Telephone

*E-mail address

5. Billing Address (If different from organizational contact)

Name

Address

City, State, Zip

6. Estimated number attending

             Adults             Teens             Elementary             Preschool

7. Meals  Number of meals during stay

For Kitchen use:

8.  Overnight Lodging desired

       Downstairs dorms (2 girls, 2 boys) total occupancy: 48

       Outside cabins (4) total occupancy: 48

9. Deposit:  A 25% security deposit is required within 2 weeks of reservation to secure the date(s).  Cancellation 60 days or more prior to date reserved will result in a refund of one-half the deposit amount.  For cancellation less than 60 days prior to the reservation, no refunds will be made.  

10. Proof of Insurance:  Proof of insurance with Tallgrass Christian Camp listed as "Additionally Insured" must be provided 30 days prior to date of arrival.