Property Rental Form Members

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							     PROPERTY RENTAL FORM FOR GIRL SCOUT of EASTERN MASSACHUSETTS MEMBERS
                                           CAMP DATE                             RESERVATIONS OPEN
                                       January – mid-June                        November 15th 9 AM
                                      mid-August - December                        April 15th 9 AM

                    ALL Forms received by Opening Day in the Boston Office will be processed first,
                                 after Opening Day forms are processed as received.

Follow these steps to rent a campsite:
1. FAX (617-350-5246) with credit card or MAIL completed form with payment at least 2 weeks prior to
    your camping date to Girl Scouts Eastern Massachusetts, 95 Berkeley St., Boston, MA 02116 Attn: Diane.
2. Submit full payment for sites (Check or Credit Card) plus Credit Card information or separate refundable damage
    deposit check for $25.00 per site, max $100.00. Cards are not charged and checks are returned provided no
    damage occurs. Submit copies of applicable certifications (i.e. First Aid/CPR, Lifeguard, Boating, etc.) if not on file
    with Girl Scouts of Eastern of Massachusetts, Inc.
3. Troop Cancellation: Written notice of cancellation must be received 4 weeks prior to your date to receive a refund.
4. Encampments Only: Submit ½ of the total site fees of 1st choice site plus credit card information or check for
    damage deposit. ($25.00 per site - $100.00 max). Balance of Encampment fees and/or cancelled sites due 6 weeks
    prior to encampment date. List individual site names (attach additional sheet if needed) and list Troop Camper and
    First Aid person for the encampment. Submit copies of applicable certifications (i.e. First Aid/CPR, Lifeguard, Boating,
    etc.) if not on file with Girl Scouts Eastern of Massachusetts, Inc.
-----------------------------------------------------------------------------------------------------------------------------------------------
Troop/Group Information:
Group / Troop # ______________                Adult in Charge: _____________________________                         Home Phone: ___________
Email                                                       Work Phone                                          Cell Phone __________
Address                                                                         Town                                               Zip
Contact me at (number 1-4)            Home _____         Work _____ Cell _______              Email _____
Number of Girls Attending per level: Daisy ____ Brownie ____ Junior ____ Cadette ____ Senior ____ Ambassador ____
Number of Adults: Females _____ Males ______ EVENT PLANNED:(i.e. Training, Meeting, Program, SU Event,
Encampment, Overnight Trip) _______________________________________________________________________
---------------------------------------------------------------------------------------------------------------------------------------
PROPERTY REQUEST:             NOTE: Check in time is after 1:00 PM. Check out time is 11 AM at all sites .
First Choice       Camp: _______________________                               Site (s): ____________________________________
                   Arrival Date: __________________                            Departure Date: __________________________

                   Arrival Time _______________________                        Departure Time: (Day Use Only) ______________
                           (Not before 1:00 P.M for overnights)
                                                                               Total Fee Enclosed: ________________________
Second             Camp: ______________ Site: ____________________
Choice:
                   Arrival Date _________ Departure Date: ___________ Fee: _______
---------------------------------------------------------------------------------------------------------------------------------------------------
TRAINING INFORMATION:                  Troop Camping Skills Trained Adult ________________________________________
Type of Training: (check one) Lodge __             Tent ___           Last Date Certification Received _______________________
First Aid/CPR Trained Adult ___________________________________ Expiration Date: First Aid _____                                      CPR _______
(Include copies of First Aid/CPR cards unless trained through GSEM)

Payment Information:
CHARGE CARD INFORMATION FOR DAMAGE DEPOSIT                                                 SITE PAYMENT: Check Enclosed $___________
  Visa or  MasterCard #_______/______/______/______                                          Or
                                                                                           Use Credit Card for Site Fee(s) YES ______
Exp. Date: _____/_____
Name on Card ___________________________________                                           see other side for sites, capacities & price
             FEES FOR GIRL SCOUT of EASTERN MASSACHUSETTS MEMBERS ONLY


                                  Overnight/Day Use                                Overnight/Day Use
                                     Rate / Rate                                      Rate / Rate
Lodges/Cabins (heated) sleeps 2-49 $ 75 / $40            Platform Tents, Tentalos     $40 / $20
Lodges/Cabins (heated) sleeps 50-74 $100 / $50           Cabins/Yurts (unheated)      $45 / $25
Lodges/Cabins (heated) sleeps 75+ $150 / $75             Pond Shelter (Cedar Hill)    $45 / $25
Pavilions/Craft House/Nature Ctr(CH) na / $30            Adirondacks                  $25 / $15
EDC Science Room (WIP)               na / $40            Primitive Sites              $15 / $10
Dining Halls                         call for rates


OVERNIGHT CAPACITIES (           )

CEDAR HILL, WALTHAM, MA              MAUDE EATON, ANDOVER, MA                WAMPANOAG, MARTHA’S
Beehive Cabin (heated) (28)          Main Lodge (50)                         VINEYARD, MA
Cedarwood Cabin (heated) (40)        Small Lodge (17)                        Combined Rental Heated Lodge &
Foxwood Cabin (heated) (40)          The Hollow Cabin (30)                   Tents (50) May 1st – Sept. 30th
Toplofty Cabin (heated) (30)         Birdsnest-Primitive Site
Rookery Cabin (heated) (30)          Woodshole- Primitive Site               Lodge Only (20) (heated)
Pond Shelter Cabin (heated) (20)     Pathfinder-Primitive Site               October 1st – April 30th
Great Hall Lodge (80 seasonal)       Tarbox Hill-Primitive Site
Cedar Hollow Tents (30)              Sherwood-Primitive Site
Trails End Tents (30)                Crest-Primitive Site                    VIRGINIA, BOLTON, MA
Four Winds Tents (25)                Cove-Primitive Site                     Coolidge Cabin (heated) (10)
Juniper Hill Tents (25)                                                      Hart Trail Tents (25)
Sherwood Forest Tents (25)                                                   Hoover Hollow Tents (25)
Wind Ridge Tents (30)                PARADISE, BEVERLY, MA                   McCauley Hill Tents (25)
Amy Brewer Pavilion-Day Use          Summer Rentals permitted                Miles Ridge Tents (25)
The Forge Pavilion-Day Use           Edie Estes Lodge (heated) (50)          Sherman Forest Tents (25)
Nature Center-Day Use                Primitive Sites                         Storrow Woods Tents (25)

EDITH READ, NORTON, MA
Fuller Lodge (heated) (30)           RICE MOODY, READING, MA                 WABASSO, BRADFORD, NH
Oak Bluff Tents (20)                 Lodge (heated) (50)                     Lodge –Top (heated) (10)
Beech Grove Tents (20)                                                       Lodge –Main (heated) (20)
Tall Timbers Tents (20)                                                      Lodge - Basement (heated) (20)
Adirondack (12)                      RUNELS, PELHAM, NH                      Christa’s House (heated) (18)
                                     Health Lodge (heated) (20)              Birches Cabin (32)
FRIENDSHIP HOUSE,                    Program Lodge (heated) (22)             Woodlands Cabin (32)
GLOUCESTER, MA                       Rock Lofty Yurts (18)                   Whirwinds Cabin (32)
Summer Rentals permitted                 & 1 Cabin (6)                       Hemlocks Cabin (36)
Lodge (heated) (20)                  Blueberry Square Yurts (30)             Algonquin Tents (32)
                                     Oakridge Open Air Cabins (36)           Tinuwen Tents (28)
GREENBRIER, ACUSHNET, MA             Capella 5 Tentalos (25)                 Adirondacks (15)
Summer Rentals permitted                 & 1 Cabin (6)
Kilpatrick Lodge (heated) (50)       Midship Tentalos (35)
Tent Unit (20)                       Birchwood Tents (30)                    WIND-in-the-PINES,
                                     Sitzmark Tents (24)                     PLYMOUTH, MA
FAVORITE, BREWSTER, MA               7 Stars Tents (36)                      Balfour Lodge (heated) (20)
Cranberry Lodge/New South Wales      Pond View Cabin (8)                     EDC Lodge (heated) (40)
Tents (combined unit) (26)           Inspiration Point-Primitive Site        B’G’s Tents (15)
Sleepy Hollow Tents (36)             Craft House/day use (30)                Merriwood Tents (20)
Lakeview Tents (28)                  Dining Hall/day use                     Tattapanum Tents (20)
Sunrise Hill Tents (24)              Kitchen (contact Registrar)             Nekon Tents (20)
Newport Tents (32)                                                           Whispering Pines Tents (40)
Woodlands Tents (28)                                                         Gypsy Tents (40)
Kettle Hole Tents (28)                                                       Windy Glen Tents (40)
                                     TAUPAWSHAS,                             Look Out Hill Tents (50)
MENOTOMY, MEREDITH, NH               NANTUCKET, MA                           EDC Science Room-Day Use
Beeches Tents (24)                   Tent Unit (20)
Blueberry Point Tents (24)                                                   WINNETASKA, ASHLAND, MA
Boulder Haven Tents (24)                                                     Lodge (heated) (19)
Hemlocks Tents (24)                  THE CENTER, ROWLEY, MA                  Our Cabana Tents (30)
Tanglewood Tents (24)                Primitive Sites                         Our Chalet Tents (24)
Pirates Cove Cabins/Tent (24)                                                Pax Tents (24)

Revised 2/23/12

						
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