Camp Andrews
Introducing Urban Youth to Jesus

Summer Camp Reservation Form
*Indicates Required Fields
*Name of group/organization:

*Phone:
*Contact Person:
*Phone:
*Address::

*Email Address:
Fax Number:
*Estimate number of persons in your group:

 

Ages 10+

Ages 5-9

*ARRIVAL (after 9:30 AM Monday)

Date

Time

*DEPARTURE (before 3:00 PM Friday)

Date

Time

*Meals:


We plan to bring our own food
We are requesting Camp Andrews provides food
*Lodging:

 

 

 

 

 


Pine View Lodge (sleeps 36)
Millhouse (20-25 upstairs)
Lion's Den (10)
Ant Hill (8)
 Bee Hive (8)
Chipmunk Burrow (8)
Eagle's Nest (10)
Squirrel's Nest (16)
Beaver Dam (10)
Bear Cave (10)
Camper Insurance (covers injury or sickness while at Camp Andrews - $.25 per person per day)
Purpose & Nature of yourTrip:

Deposit: To confirm your reservation, return this signed form with a non refundable deposit

Agreement: I have received, read, and agree to fulfill all the responsibilities of our guest group as listed on the enclosed form titled “Responsibilities”. Our group will also respect Camp Andrews’ Statement of Faith as outlined in the “Rates” brochure.
Application

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1226 Silver Spring Road, Holtwood, PA 17532 | Phone: 717.284.2624
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