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Confirmation of Use
Tiffany Neufeld
2022-03-23T01:21:07+09:00
Confirmation of Use Form
Group Name
*
Contact Name
*
Contact Cell Phone Number:
*
Contact Email Address:
*
Arrival Date
*
Arrival Time (estimate)
*
Departure Date
*
Departure Time (estimate)
*
Length of Stay
*
Please Select an Option
Day Only
1 Night
2 Night
3 Night
4 Night
Est. number of cars
Night 1
Lunch (Day1) ..... Adult (Jr. High & older)
Lunch (Day1) ..... Elementary Child
Lunch (Day1) ..... 3-5 Years Olds
Lunch (Day1) ..... Under 3 Years Old
Lunch (Day1) ..... High Chairs
Dinner (Day1) ..... Adult (Jr. High & older)
Dinner (Day1) ..... Elementary Child
Dinner (Day1) ..... 3-5 Years Olds
Dinner (Day1) ..... Under 3 Years Old
Dinner (Day1) ..... High Chairs
Breakfast (Day2) ..... Adult (Jr. High & older)
Breakfast (Day2) ..... Elementary Child
Breakfast (Day2) ..... 3-5 Years Olds
Breakfast (Day2) ..... Under 3 Years Old
Breakfast (Day2) ..... High Chairs
Lunch (Day2) ..... Adult (Jr. High & older)
Lunch (Day2) ..... Elementary Child
Lunch (Day2) ..... 3-5 Years Olds
Lunch (Day2) ..... Under 3 Years Old
Lunch (Day2) ..... High Chairs
Lodging (Day1) ..... Adult (Jr. High & older)
Lodging (Day1) ..... Elementary Child
Lodging (Day1) ..... 3-5 Years Olds
Lodging (Day1) ..... Under 3 Years Old
Day Camper (Day1) ..... Adult (Jr. High & older)
Day Camper (Day1) ..... Elementary Child
Day Camper (Day1) ..... 3-5 Years Olds
Day Camper (Day1) ..... Under 3 Years Old
Ofuro/Bath Time
*
Night 2
Dinner (Day2) ..... Adult (Jr. High & older)
Dinner (Day2) ..... Elementary Child
Dinner (Day2) ..... 3-5 Years Olds
Dinner (Day2) ..... Under 3 Years Old
Dinner (Day2) ..... High Chairs
Breakfast (Day3) ..... Adult (Jr. High & older)
Breakfast (Day3) ..... Elementary Child
Breakfast (Day3) ..... 3-5 Years Olds
Breakfast (Day3) ..... Under 3 Years Old
Breakfast (Day3) ..... High Chairs
Lunch (Day3) ..... Adult (Jr. High & older)
Lunch (Day3) ..... Elementary Child
Lunch (Day3) ..... 3-5 Years Olds
Lunch (Day3) ..... Under 3 Years Old
Lunch (Day3) ..... High Chairs
Lodging (Day2) ..... Adult (Jr. High & older)
Lodging (Day2) ..... Elementary Child
Lodging (Day2) ..... 3-5 Years Olds
Lodging (Day2) ..... Under 3 Years Old
Day Camper (Day2) ..... Adult (Jr. High & older)
Day Camper (Day2) ..... Elementary Child
Day Camper (Day2) ..... 3-5 Years Olds
Day Camper (Day2) ..... Under 3 Years Old
Ofuro/Bath Time (Day 2)
*
Night 3
Dinner (Day3) ..... Adult (Jr. High & older)
Dinner (Day3) ..... Elementary Child
Dinner (Day3) ..... 3-5 Years Olds
Dinner (Day3) ..... Under 3 Years Old
Dinner (Day3) ..... High Chairs
Breakfast (Day4) ..... Adult (Jr. High & older)
Breakfast (Day4) ..... Elementary Child
Breakfast (Day4) ..... 3-5 Years Olds
Breakfast (Day4) ..... Under 3 Years Old
Breakfast (Day4) ..... High Chairs
Lunch (Day4) ..... Adult (Jr. High & older)
Lunch (Day4) ..... Elementary Child
Lunch (Day4) ..... 3-5 Years Olds
Lunch (Day4) ..... Under 3 Years Old
Lunch (Day4) ..... High Chairs
Lodging (Day3) ..... Adult (Jr. High & older)
Lodging (Day3) ..... Elementary Child
Lodging (Day3) ..... 3-5 Years Olds
Lodging (Day3) ..... Under 3 Years Old
Day Camper (Day3) ..... Adult (Jr. High & older)
Day Camper (Day3) ..... Elementary Child
Day Camper (Day3) ..... 3-5 Years Olds
Day Camper (Day3) ..... Under 3 Years Old
Ofuro/Bath Time (Day 3)
*
Night 4
Dinner (Day4) ..... Adult (Jr. High & older)
Dinner (Day4) ..... Elementary Child
Dinner (Day4) ..... 3-5 Years Olds
Dinner (Day4) ..... Under 3 Years Old
Dinner (Day4) ..... High Chairs
Breakfast (Day5) ..... Adult (Jr. High & older)
Breakfast (Day5) ..... Elementary Child
Breakfast (Day5) ..... 3-5 Years Olds
Breakfast (Day5) ..... Under 3 Years Old
Breakfast (Day5) ..... High Chairs
Lunch (Day5) ..... Adult (Jr. High & older)
Lunch (Day5) ..... Elementary Child
Lunch (Day5) ..... 3-5 Years Olds
Lunch (Day5) ..... Under 3 Years Old
Lunch (Day5) ..... High Chairs
Lodging (Day4) ..... Adult (Jr. High & older)
Lodging (Day4) ..... Elementary Child
Lodging (Day4) ..... 3-5 Years Olds
Lodging (Day4) ..... Under 3 Years Old
Day Camper (Day4) ..... Adult (Jr. High & older)
Day Camper (Day4) ..... Elementary Child
Day Camper (Day4) ..... 3-5 Years Olds
Day Camper (Day4) ..... Under 3 Years Old
Ofuro/Bath Time (Day 4)
*
Day Only
Lunch (DC) ..... Adult (Jr. High & older)
Lunch (DC) ..... Elementary
Lunch (DC) ..... Preschool
Lunch (DC) ..... Under 2
Lunch (DC) ..... High Chair
Day Camper (DC) ..... Adult (Jr. High & older)
Day Camper (DC) ..... Elementary
Desired Sleeping House
Ome House (extra cost)
Sawai House
Mitake House
No Preference
Desired Meeting Place
*
Chapel (extra cost)
Chapel Lounge
Sawai Lounge
No Preference
Options
*Extra fees for each
Japanese BBQ (We provide food, you cook it. Only available March 21-October 31)
*
No
Yes, for lunch
Yes, for dinner
Camp Fire (available March 21 - October 31) *must end by 9pm
*
No
Yes
Fireplace (available November 1 - March 30)
*
No
Yes
Baptistry
*
No
Yes
Date for the BBQ
*
Date for Campfire
*
Date for Baptistry
*
Miscellaneous Options
Pool
Fridge
BluRay Player
DLP Projector (extra cost)
Provide desired schedule of pool (day and time)
Upload a PDF of the schedule
Choose File
Other Notes/Comments
Group Guidelines
I have read and agree to OBC's Group Guidelines
*
Yes
Submit
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