Birch Creek Center Reservation Inquiry Form

Group Name: *

Group Website (if available):

Contact Name: *

First

Last

Contact Email: *

Please list the best email address for our staff to contact in order to confirm the details of your inquiry.

Contact Phone: *

Preferred Check-in Date *

Please note the Center will be closed for the winter season by the end of October 2024 & will likely re-open in April 2025. Dates are subject to weather and facility conditions.

Preferred Check-out Date *

Please note the Center will be closed for the winter season by the end of October 2024 & will likely re-open in April 2025. Dates are subject to weather and facility conditions.

If your group has multiple sessions, please list other dates:

Type of Group (Select all that Apply): *

Estimated Number of Youth Guests (Aged 18 and under) *

Estimated Number of Adult Guests Including Chapperones (Aged 18 and up) *

Do you require indoor access to the Bender Center during your visit? *

How does your group intend to use the Birch Creek Center? *

Billing Email Address *

Please list the best email address to receive final invoices upon the group's departure.

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

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