Application

First Name *

Last Name *

Organization *

Address *

City *

State *

Zip *

Country *

Phone *

Email *

Comment *

Stated Purpose of Organization

Stated Purpose of Visit

Name

Phone (Home)

Phone (Work)

Cellular

Name

Phone (Home)

Phone (Work)

Cellular

Date Requested - From

To

Departure from Mainland:

Departure from Grace Island:

Booking Code *

Group Size

One Day EVENT (min charge $300)

$10 per person X

Total

OVERNIGHT CAMPING RATE ($6 per person per day)

Group Size

Nights camping

Total

One Day EVENT (min charge $450)

$15 per person X

Total

OVERNIGHT CAMPING RATE ($20 per person per day)

Group Size

Nights camping

Total

AMENITIES & EXTRA CHARGES

5 kayaks $10/day/1 boat

Wifi unlimited ($20/day)

Climbing Wall Staffing (1hr) $50/day

Snorkeling Gear $10/person/day

Speakers’ Cottage $200/week

Snorkeling Guide 2 hrs $60/session

Boat Runs to mainland $50 day

PLEASE CHECK ONCE DONE *

I have read and agree to The Cancellation Policy, and The Rental Agreement (links below)

Amount

Total Amount

$

Payment method

Pay by Credit/Debit Card

Billing Zipcode*

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Type*

Card Holder Name*

Camp Application

Contact #1:

Contact #2:

LOCAL CHARITY RATES "(*BERMUDA CHARITIES)"

REGULAR RENTAL RATES

REQUIRED $200 Refundable Breakage Fee

Grace Island Rate Summary

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