Transatlantic Council Camp Reservation Form 2005  All refunds for payments made by credit card are subject to a 5% administrative fee

Please register us for the following camp session. Please register separately for each camp that you wish to attend .......REMEMBER.....FINAL PAYMENT IS DUE BY 2 Weeks  before your camp starts....................... Use this section between 1 December  2004 and 30 April 2005 Please fill in this section whenever you are making a payment! Point of Contact Information TroopCrew Number from MayflowerBarbarossaCharlemagneEdelweissMediterreaneanHorizonDirect Service Other Council Year of Birth of person submitting application form *                                                                         * This information is required to comply with Federal Laws on collecting information from minors. Name: Address: Phone: Email Go To Initial Deposit     Initial Payment    Final Payment    Regular Fee Payment (new Scouts and unit sign ups after 15 May) Initial Deposit Please register us for the following camp session Baden Powell High Adventure Camp 25 June to 1 July (Saturday to Friday) Camp Alpine 10-16  July Camp Freedom 17-23 July Camp Freedom 31 July - 6 August Camp Freedom 7-13 August   This is our Initial Deposit   Please pay $100 to hold your camp reservation (counts towards youth payment) Estimated # of Youth     Estimated # of Adult Leaders ------------Use this section for initial payment of $50 per youth due by 15 May 2005-------------------------------- Initial Payment Baden Powell High Adventure Camp 25 June to 1 July (Saturday to Friday) Camp Alpine 10-16  July Camp Freedom 10-16 July Camp Freedom 17-23 July Camp Freedom  31 July -6 August Camp Freedom 7-13 August This is an: Initial Sign-up       # of Scouts     # of Adults  $50 per Scout and Scouter Additional Reservations  # of Additional Scouts  # of Additional Adults  $50 per Scout        These Scouts will be charged the "Reserved Camper fee" as long as the first payment of $50 each is received prior to 15 May.   Go to Payment Information REGULAR CAMPIING FEE PAYMENT Use This Section after 15 May  (Please fill in point of contact information) Please register us for the following Camp Session Baden Powell High Adventure Camp 25 June to 1 July (Saturday to Friday) Camp Alpine 10-16 July Camp Freedom 10-16 July Camp Freedom 17-23 July Camp Freedom 31 July -6 August Camp Freedom 7-13 August This is an: Initial Sign-up # of Scouts @ $50.00 each Total Additional Reservations # of Adults@ $50.00 each This is for the Crew Option at Baden-Powell ($350 inclusive fee) # of Scouts for BP Crew Option These Scouts will be charged the "Regular Camping fee." Final Payment Due 2 weeks before camp starts We would like to make the final payment for Baden Powell High Adventure Camp 25 June to 1 July (Saturday to Friday) Camp Alpine 10-16  July Camp Freedom 10-16 July Camp Freedom 17-23 July Camp Freedom 31 July-6 August Camp Freedom 7-13 August PAYMENT: you may also fax this form or mail it (mail and fax info)  Credit Card: MasterCardVisaUnit Account Check or Money payable to TAC-BSA Name on Credit Card Credit Card Number: Exp. Date JanFebMarAprMayJunJulAugSepOctNovDec Yr. 200420052006200720082009201020112012 3 digit pin number on reverse side of credit card TOTAL TO CHARGE or CHECK AMT. ENCLOSED Charge to Unit Account           I do hereby authorize the deduction of the above stated fees to be deducted from our unit account.