Everyone Camping July 23-Aug. 5, 2010 Must Use This Reservation Form

FREDERICKSBURG KOA CAMPGROUND

7400 Brookside Lane

Fredericksburg, Virginia 22408

540-898-7252

Name or Troop#_______________ Troop leader_________________

Address______________________ Phone #( )______________(Home)

_____________________________ Phone #( )______________(Work)

Date of Arrival__________ # nights____ Departure Date___________

Approx. Time of Arrival_____ Number in Party__________

(Groups not to exceed 20)

Hookups Required: Equipment Type:

Electric, Water, & Sewer___ Motor Home___Length___Towing?___

Electric & Water___ Travel Trailer___Length___

No Hookups___ Pickup Camper___Towing?___

Group Area___ (Max. Of 20) 5th Wheel___Length___

Kabin_____ Lodge_____ Tent___ Van___ Tent Trailer___

Do you have an Air Conditioner?____

For Reservations, include a 50% non-refundable deposit. To determine the deposit amount, the rates are as follows:

Daily Rates for 2 persons are: (add VA Sales Tax @ 10%)

$36.00 No Hookups

44.00 Electric & Water

49.00 Electric, Water & Sewer

5.50 Each additional person 3 years & older (not group area)

62.00 Kamping Kabins

189.00 Kamping Lodge

12.00 Per person/Per Night Group Camping

Please note: One family, one vehicle, one camping unit per site with a maximum of 6 persons.

I have read, understand, & agree to the reservation guidelines set forth by the Fredericksburg KOA for the 2010 Boy Scout Jamboree.

Included is a 50% non-refundable deposit.

Signature______________________Individual campsite or Troop Leader

Signature______________________Asst. Troop Leader/Phone#__________