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Three Mile Island Camp Reservation Form

Name (responsible for payment)

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First choice week at camp

Second choice week at camp

Third choice week at camp

Fourth choice week at camp

Total number of people on this reservation

Be sure the number here matches the total number of people listed.

Camper 1 (responsible for payment)

First Name

Last Name

Camper 1 sharing a cabin with:

Camper 1 AMC member number

Camper 2

First Name

Last Name

Camper 2 age at camp if under 18

Camper 2 sharing a cabin with:

Camper 2 AMC member number

Camper 3

Camper 3 age at camp if under 18

Camper 3 sharing a cabin with:

Camper 3 AMC member number

Camper 4

Camper 4 age at camp if under 18

Camper 4 sharing a cabin with:

Camper 4 AMC member number

Camper 5

Camper 5 age at camp if under 18

Camper 5 sharing a cabin with:

Camper 5 AMC member number

Camper 6

Camper 6 age at camp if under 18

Camper 6 sharing a cabin with:

Camper 6 AMC member number

Camper 7

Camper 7 age at camp if under 18

Camper 7 sharing a cabin with:

Camper 7 AMC member number

Camper 8

Camper 8 age at camp if under 18

Camper 8 sharing a cabin with:

Camper 8 AMC member number

Camper 9

Camper 9 age at camp if under 18

Camper 9 sharing a cabin with:

Camper 9 AMC member number

Camper 10

Camper 10 age at camp if under 18

Camper 10 sharing a cabin with:

Camper 10 AMC member number

Camper 11

Camper 11 age at camp if under 18

Camper 11 sharing a cabin with:

Camper 11 AMC member number

Camper 12

Camper 12 age at camp if under 18

Camper 12 sharing a cabin with:

Camper 12 AMC member number

Cabin preference #1

Be sure to list cabins for all members of your party

Cabin preference #2

Cabin preference #3

Anticipated arrival time

Will this be your first visit to Three Mile Island Camp?

If yes, how did you hear about TMI?

Acceptance of terms

I accept the Payments, Changes and Cancellation Terms and understand pricing is per person, not per cabin.

I understand the total deposit required is $200 per person, per week

Total deposit required

Additional notes

Please indicate anything else we might need to know, including special or dietary needs