2018 Alumni Week Reservation Form
Agassiz Village
First Name *
Your answer
Last Name *
Your answer
Your answer
Your answer
Year(s) attended Agassiz as camper *
Your answer
Year(s) attended Agassiz as staff *
Your answer
Section that you Worked in *
Your answer
What was your Chief's name? *
Your answer
How many people will be attending in your party? *
# of Adults | # of Children
Your answer
Would you be willing to share the cabin with another group? *
Select Arrival Date: *
Select Departure Date: *
Will you be joining us for meals on your arrival date? *
Check all that apply.
Do you plan to join us for all meals during your stay, or are you planning to dine out of the camp, too? *
Check all that apply
I only plan to visit for the day. *
We ask for a $25 donation plus $5 per meal per person
See website for building descriptions, rates and activity schedule
First Choice
Second Choice
Third Choice
Fourth Choice
Maloney Hall: Small Room (max 2)
Maloney Hall: Large Room (max 4)
Pioneer Section
Staff 5
All accommodations include a three-meal a day plan for $15 per person
A 50% deposit is required to hold the room. Visa and MC accepted via online payment (email with the link will follow) or send check or Money Order to Agassiz Village, 238 Bedford St., Suite 8, Lexington, MA 02420.
Full payment due by May 30, 2018
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