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Application for use of Tallgrass Christian Camp

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1. Dates for use:                      * = required fields

                                          Arrive                      Depart


*First Choice

*Second Choice

2. *Name of Organization

Organizational contact information:



*City, State, Zip


*E-mail address


City, State, Zip


*E-mail address



City, State, Zip

7.  Overnight Lodging desired

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

Outside cabins (5, 2 boys, 3 girls) total occupancy: 60

5. Billing Address (If different from organizational contact)

6. Estimated number attending

3. Specific Purpose of Camp Use

4. *On-site Leader of Group




8. 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.  

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