Summer Overnight Rental Form
We are excited that you have chosen the Lancaster Jewish Community Center (LJCC) facility for your overnight group. Please fill out the form below to reserve your overnight stay during the Summer of 2012. Please contact Kym Balmer at (717)569-7352 or kbalmer@lancasterjcc.org for more information.
OVERNIGHT STAY CONTACT INFORMATION
Please fill in your Organization information.
ORGANIZATION NAME *
e.g. Lancaster JCC Summer Camp
Your answer
MAILING ADDRESS *
e.g. 2120 Oregon Pike
Your answer
CITY, STATE, ZIP *
e.g. Lancaster, PA 17601
Your answer
PHONE NUMBER *
e.g. (717) 569-7352
Your answer
ORGANIZATION CONTACT NAME *
e.g. John Smith
Your answer
EMAIL ADDRESS OF ORGANIZATION CONTACT PERSON *
Your answer
HEAD CHAPERONE CONTACT NAME *
e.g. John Smith
Your answer
EMAIL ADDRESS OF HEAD CHAPERONE *
Your answer
PHONE NUMBER OF HEAD CHAPERONE *
e.g. (717) 569-7352
Your answer
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