Camp Balcones Springs 104 Balcones Springs Dr. Marble Falls, TX 78654 Cash Advance Form I ________________________________ acknowledge that Camp Balcones Springs may provide me with cash advances and/or camp store merchandise on my paycheck(s). I understand that these advances will be taken out of my paycheck(s). Finally, I acknowledge that this debt is binding beyond the scope of my employment and will repay it even if I am no longer employed by Camp Balcones Springs. I hereby agree to the terms dictated above. ________________________________ Recipient of Advance ________________________________ Print Name Student Information Were you a student at an academic institution in the spring of 2011? (CIRCLE ONE) FULL TIME PART TIME NOT A STUDENT Do you plan to be at an academic institution in the fall of 2011? (CIRCLE ONE) FULL TIME PART TIME NOT A STUDENT Name: ___________________________ Date: ________________ Thank you! You r answers will help to determine different insurance rates for the camp.