Camp Tall Pines 2019 Summer Season Reservation Request
Complete the information below to request a 1-week (Monday 12pm - Friday 10am) reservation for your program to attend Camp Tall Pines this summer. Applications will be accepted until March 1st, 2019 and programs will be notified with their summer reservation by March 22, 2019.

Camper Fee - $150/week includes all meals (set menu Monday Lunch - Friday Breakfast, no special diets)

Programs must provide adequate supervision for their campers for the entire duration of their assigned weeks stay. Recommendation is 3 campers to 1 staff. There is no fee for staff for programs that stay within the 3-1 ratio. Staff ratios greater than 3-1 will be charged a camper fee for each extra staff. Some Program staff will be asked to help with meal prep for breakfasts and some dinners for campers.

Programs will be assigned a specific cabin entirely for its campers and staff. No Program will be required to share a cabin with any other attending Program.

Program Name *
Agency, Day Program, Group home, etc.
Your answer
Contact First Name *
First name of person in charge of group's stay
Your answer
Contact Last Name *
Last name of person in charge of group's stay
Your answer
Contact Email Address *
Email address for the person in charge of group
Your answer
Contact Phone Number *
Best number to reach person in charge of the groups
Your answer
Number of Male campers in your group *
Number of male campers staying for the entire week. Enter "0" (zero) if not applicable
Your answer
Number of Female campers in your group *
Number of Female campers staying for the entire week. Enter "0" (zero) if not applicable
Your answer
Number of staff in your group *
Number of Female staff on duty at one time during your stay. Campers must have staff supervision for the entire duration of the week stay. Recommendation is 3 campers to 1 staff. There is no fee for staff for groups that stay within the 3-1 ratio. Staff ratios greater than 3-1 will be charged a camper fee for each extra staff.
Your answer
Number of people using wheelchairs in your group *
Enter "0" (zero) if not applicable
Your answer
First Week Choice to attend Camp Tall Pines *
Second Week Choice to attend Camp Tall Pines *
Third Week Choice to attend Camp Tall Pines *
Extra Notes
Suggestions or requests
Your answer
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