GENERAL INFORMATION

First Name *

Last Name *

Position/Roles *

Phone Number *

Email Address *

Camp Name *

RESERVATION INFORMATION

Enter the amount of people you are registering next to the Option(s) you choose.

	Option 1: Price: $110.00 - Motel Lodging - 2 Nights, program, meals
	Option 2: Price: $90.00 - Motel Lodging - 1 Night, program, meals
	Sub-Option 1&3: Price: $50 - additional person per motel room
	Option 3: Price: $75.00 - Bunkhouse Lodging - 2 Nights, program, meals
	Option 4: Price: $55 - Bunkhouse Lodging - 1 Night, program, meals
	Option 5: Price: $50 - No Lodging, program and meals only

Motel rooms have 1 queen bed and 1 twin bed or 1 queen bed and 1 twin bunk bed.
If you have reserved motel rooms for your group, how many rooms do you need?

SPECIFICATIONS

Do you have any Food Allergies or Specified Diet?
Special food will be available ONLY for those who specify a food allergy or dietary request e.g. vegetarian, gluten free, dairy free, etc.
List your food allergy or specified diet here:

If you registered multiple people, list names and position/roles below:

If any dietary needs or names of people attending change before the event, please email register@hlccc.org with the updated information.

PAYMENT METHOD

Choose a Payment Option
*

Pay By Check

Pay By Credit Card - The system will process the Credit Card for the entire balance at the end of this reservation. A 3.7% process fee will be included.

Final Instructions

- Once you click "Next" the system will show a summary of your reservation. Click the "Back" button at the bottom of the page if you need to make a change.

- The option to pay by check or credit card will appear below the summary.

Choose one of the payment options again. If you are paying by credit card, the system will ask for the credit card information and will charge the FULL amount at this time.

-Click "Continue" one more time to complete your reservation form.

- If you have any questions, please contact Highland Lakes Camp office: 512-264-1777.