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Contact Information |
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Name |
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| Address |
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| City |
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State/Province |
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| Zip |
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| Home phone |
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| Cell phone |
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| Email |
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| Emergency
contact |
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| Emergency
phone |
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Passengers |
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| Number of
adults coming (including yourself) |
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| Names of
the adults |
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| Number of
children coming |
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| Names,
gender, ages of the children. Simply separate
the names by commas. |
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| What are
some of the children's hobbies, interests, or toys
they like? |
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| Will you be
flying or driving? |
If you will be flying, please complete the flight
details section. If driving, please complete
the driving details section. If you will be
flying and driving, please complete both. |
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Flight Details |
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| Number of
tickets purchased |
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| Total cost
of tickets to be reimbursed |
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| To whom
would you like your reimbursement check made
payable? |
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| Arrival
flight number |
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| Arrival
date (mm/dd/yyyy) |
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| Arrival
time (EST) |
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| Arrival
airline |
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| Number of
travelers |
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| Departure
flight number |
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| Departure
date |
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| Departure
time (EST) |
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| Departure
airline |
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| Number of
travelers |
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Driving Details |
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| Roundtrip
mileage |
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| Date of
arrival |
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| Estimated
time of arrival (EST) |
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| Date of
departure |
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| Estimated
time of departure (EST) |
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| Number of
traveling companions |
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Food Preferences |
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Please check all the
fruits
that you like |
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Apples
Bananas
Grapes
Oranges
Peaches
Pears
Raisins
Apples
Other |
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Please check all the
nuts
that you like |
Peanuts
Cashews
Mixed
Unsalted
Other |
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Please check all the
snacks
that you like |
Buttered
popcorn
Plain
crackers
Cheese
and crackers
Peanut
butter and crackers
Other |
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Please check all the types of
cheese
that you like |
American
Cheddar
Colby
Sharp
Mild
Flavored
String
cheese
Other |
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Please check all the types of
cookies
that you like |
Chocolate
chip
Sugar
Oatmeal
Oreo
Low
fat
Ginger
snaps
Other |
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Please check the types of
chips
that you like |
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Potato
chips
Doritos
Cheetos
Other |
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Please fill in the types of
sweets
that you like |
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Candy |
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Sugar-free
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Mints/gum
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Cough drops
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Drink Preferences |
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Do you prefer bottled water cold or at room
temperature? |
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What type of regular soda/pop do you like? |
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What type of diet soda/pop do you like? |
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Do you prefer caffeine free?
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What type of hot tea do you like? |
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What type of iced tea do you like? |
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Please check the types of juice that you like |
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Orange
Apple
Grape
Tomato
Cranberry
Prune
Grapefruit
Mixed
blends
Other |
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What kind of coffee do you like? |
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If flavored, what flavor?
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What kind of creamer do you like in your coffee? |
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If flavored, what flavor?
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What kind of sweetener do you like? |
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Other
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Breakfast Items |
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What kind of cereal do you like? |
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What kind of cereal bars do you like? |
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What kind of granola bars do you like? |
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What kind of oatmeal do you like? |
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What kind of Pop Tarts do you like? |
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Other Preferences or Needs |
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Are there any friends or family that you know will
be coming to see you that you would like to invite
to visit during the day on the grounds or to be a
part of our service meal? If yes, please list
their names below |
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How many rooms and beds will you need for sleeping? |
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Rooms
Beds |
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Will you be needing a crib or cot?
Crib
Cot
Both |
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When do you prefer to eat your main meal?
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Please check any activities, outside the camp
activities, that you would like to be a part of
during your stay. We will try and accommodate
you the best we can. We will be glad to take
you to your desired destinations, or we can give you
a vehicle if you would like to go by yourself. |
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Golf
Shopping
Boating
Library
Children's
play areas
Columbus
Zoo COSI
- Interactive museum for children
Hiking
Fishing
Cycling
Museums
Sightseeing
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Will you be needing a vehicle during your stay?
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