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

Additional Information:

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