Club Commitment and Contract Form

Club Commitment and Contract Form Due March 31, 2017 Club Commitment The Kiwanis Club of ___________________________________ is reserving ____________ spot(s) at Camp OK to be held in Boone, Iowa. In the best interest of the student(s) and the camp, we will complete the application packet for each camper candidate so that, to the best of our knowledge, the candidate meets the guidelines outlined in the purpose of the camp. A deposit of $100.00 for each camper is required to accompany this Club Commitment Form. The balance of $300.00 is due on May, 01, 2017. There is no fee for endowment campers, however, this Club Commitment Form still must be submitted if your club intends to send an endowed camper this year. Refunds: There will be no refund made after May 12, 2017. All requests for refunds must be made in writing to the Camp OK Chairman. Email requests are acceptable, however, they must be sent by the May 09 deadline. Club Contact Contact Person

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Address

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Primary Phone

___________________________________________( ) Home ( ) Work ( ) Cell

Alternate Phone mail Address

___________________________________________( ) Home ( ) Work ( ) Cell_________________________________________________________________

Note: The above person will be the one to be contacted on all Camp OK business. Number of Campers: __________ X $100.00 = $ ____________ ( ) Check if __________ endowed camper(s) Send to: NE-IA Kiwanis District Foundation Jack L. Schinstock, Camp OK Chairman 1048 Aldrich Road Lincoln, NE 68510 (402) 483-4603 [email protected] Make checks payable to: NE-IA Kiwanis District Foundation