Rental Request Form | Bancroftgospel Copy

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VDay Banquet To Go

RENTAL REQUEST FORM

Please be sure to read our Rules for Use of Camp Facility before filling out this form.

A non-refundable deposit of $50 is required to secure your rental, which will be applied to your total rental fee.

If you prefer to print out the rental request form, you can download it here.

CONTACT INFORMATION

CHURCH/ORGANIZATION INFORMATION

RENTAL INFORMATION

Dates of Occupancy:

**Please email proof of insurance to

SERVICES INFORMATION

Tilley Dining Hall

Tilley Dining Hall (Select ONLY one)

Dining Hall

Cabins

Select all cabins needed

Charity Cabin (sleeps 16)

Faith Cabin (sleeps 16)

Hope Cabin (sleeps 16)

Joy Cabin (sleeps 18)

Craft Bunkhouse (sleeps 16)

Chapel

Select an option

Yes

No

Recreation Building

Select an option

Yes

No

Grace Apartments

Please select an option(s):

Room 1 (1 full, 3 twin)

Room 4-5 (kitchenette - $20 extra)

Room 6 (1 queen, handicap acc. bathroom)

Room 7 (1 queen, 2 twin)

Room 8 (2 queen)

Room 9 (6 twin)

I do not need any apartments

Outdoor Activity Fees

The use of these activities depends on weather and the availability of staff to run activities

**Outdoor Activity Fees are per person

Please select an option(s):

Climbing Tower

Tower Zip Line

Climbing Tower & Zip Line

Dry Slide

Forest Zip Line

Paintball

Pools (LIFEGUARD REQUIRED)

We will notify you if the date you have requested is available and your event has been approved.

I have read and agree to abide by the "Rules for Use of Camp Facility." I understand that my personal/ministry insurance will be the primary.

By typing your name below you agree to recognize this as your digital signature.

Thanks for submitting! You will be contacted by one of our representatives to confirm your request.

141 Bancroft Private Dr., Kingsport, TN 37660

423-288-4532