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RENTAL REQUEST FORM

Please be sure to read our Rules for Use of Camp Facility and the BGM Statement of Faith before filling out this form.

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

CONTACT INFORMATION

CHURCH/ORGANIZATION INFORMATION

RENTAL INFORMATION

Dates & Times of Occupancy:
**Please provide proof of insurance information:
COI can be emailed to bancroftgospel1@gmail.com

SERVICES INFORMATION

FACILITIES:
Please select ALL that apply
CABINS:
Please select ALL that apply
GRACE APARTMENTS:
Please select ALL that apply
OUTDOOR ACTIVITY FEES:
The use of these activities is contingent on the weather and availability of staff to operate activities.
**Climbing Tower, Traverse Wall, Paintball, & Archery Tag are 2-hr rentals.
MUST HAVE OR PAY FOR MINIMUM OF 10 PARTICIPANTS
Please select ALL that apply
FOOD SERVICE:
Please select ALL that apply
We will notify you if the date you have requested is available and your event has been approved.
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.

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141 Bancroft Private Dr., Kingsport, TN 37660

423-288-4532

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