The Cottage at Pilgrim Pines Reservation Form
Thank you for your interest in reserving the Cottage at Pilgrim Pines. Please fill out the following form. We will review the details of your requested reservation, clarify details and special requests with you by email and/or phone, and then send you an email containing a reservation packet confirming your reservation and providing additional information.

The suggested donation is $100.00 per night. Your payment is due upon arrival for your stay, only cash or check is accepted at this time. Please remember all donations go toward the Pilgrim Pines Campership Fund, which helps to send many campers in need to Summer Camp. On behalf of all campers who benefit from these funds, we thank you for your contribution.

If you have a gift certificate, please let us know prior to your arrival. You will need to bring your certificate with you to the Cottage as it must be presented as your payment upon arrival. Please do not hesitate to contact us at CottageAtPilgrimPines@gmail.com with any questions you may have. We are excited you have chosen to stay at the cozy Cottage and wish you a relaxing, happy, and memorable stay!
First Name: *
Your answer
Last Name: *
Your answer
Street Address: *
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City: *
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State: *
Your answer
Zip Code: *
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E-mail address: *
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Contact Phone Number: *
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Church Affiliation: *
If none, type "none"
Your answer
How Did You Hear About The Cottage? *
Your answer
Date/Time You Wish to Check In *
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Date/Time You Wish to Check Out *
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How many people will be staying at the Cottage (including yourself)? Please include number of adults and number of children. *
Your answer
Do you have a service animal you wish to bring? If yes, please explain. *
Your answer
Have you been to Pilgrim Pines Camp before? *
Required
Total amount of your donation: *
Your answer
Do you have any special requests or questions?
Your answer
Please agree to the following:
Do you agree to abide by the Cottage guidelines and rules? *
Specific information and guidelines will be provided in your reservation packet and upon your arrival to the Cottage.
Required
Do you agree to leave the Cottage as you found it? *
Required
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