AUDUBON CENTER
OF THE NORTH WOODS
RESERVATION FORM FOR THE 2004-2005 SCHOOL YEAR School/Organization:________________________________________________________________________ Address:___________________________________ City:____________________ State:_______ Zip:__________ Contact Person:__________________________________
School Phone:__________________________________ School FAX:____________________________________ Best time to call contact person (at school):_______________________________
Dates of ACNW Visit:_________________________________________________ # of students M__________ F__________ # of adults M__________ F__________ Total Number of Beds _____________ Grade/Age of Students:__________________ Do you know of any students at this time, who have special needs:__________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Do you want store time scheduled?________________________ Do you want any snacks?______________________ To the best of my knowledge, the above information is correct: Name:_________________________________________________________________
Date:_____________________ If your group grows beyond the reserved
space or unforeseen conflicts arise, contact the Audubon Center as soon
as If you have questions, write, call or
e-mail: OFFICE USE ONLY Visit #__________ Discount: ____________________________________________________ Confirmation sent:___________ Date:__________ By:___________ Submitted Requests - Meals_________ and Housekeeping ___________ Date:________________ By: ___________ Schedule and forms sent:___________ Date: _____________ By: _____________ Billed: ________________ Date: ________________
By:__________________ Amount: ______________________
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