APPLICATION FOR GROUPS DESIRING TO USE CROSSROADS CAMPGROUND
This application is to be completed and returned to the Managers, Philip and Christina Prunty @ 6827 Old St Mary's Pike, Parkersburg, WV 26104 with the required deposit. Please answer all questions.

NAME OF GROUP_________________________________________________________________

NAME, ADDRESS, & PHONE # OF ADULT IN CHARGE__________________________________
__________________________________________________________________________________

DATE DESIRED____________________________________

FACILITIES REQUESTED: (please check)
LODGE____ KITCHEN____ LG PICNIC SHELTER____ SM PICNIC SHELTER____
TRINITY CABIN____ LAUKPORT____ WAYSIDE____ FAIRVIEW____ HUGHES RIVER____ MEDICAL BUILDING____ GREEN CATHEDRAL____ CAMPFIRE AREA____ RV SITES____
ENTIRE CAMPGROUND FACILITIES____

ARRIVAL DATE______  TIME______ DEPART DATE______ TIME______

PLEASE NOTE THE FOLLOWING:
1. Campers MUST bring own bed linens and bath linens.
2. The Crossroads Campground does not have a resident cook. Each group must make it's own arrangements for such services.
3. A deposit is required and non-refundable unless managers are notified a min. of 15 days prior to event being cancelled.
4. Each group is required to clean buildings used. An inspection will be made by the managers of the campground. Each group is required to dispose of their trash into the trash house. Cleaning materials and trash bags will be provided by the campground.
5.
The Manager of the Camp and the Event Director will make an inspection of the Camp together BEFORE the Group leaves the grounds.
6. There will be a 1 1/2% service fee assessed for all invoices past 30 days.
7. The group renting the facilities will be held responsible for all damages occured during their use.

Approximate # in group:__________

This activity is approved by (Minister's signature)___________________________________________
FURTHER INFORMATION MAY BE OBTAINED BY CONTACTING
CROSSORADS UNITED METHODIST CAMPGROUND
PHIL AND CHRISTINA PRUNTY, MANAGERS
304-464-4230
[email protected]
www.geocities.com/crossroadscampground
Hosted by www.Geocities.ws

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