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Group Name
*
Briefly describe your group:
*
Contact Person
*
First Name
*
Last Name
*
Address
*
Address Line 1
*
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Phone Number
*
Email
*
Date(s) Looking to Attend
*
Are these dates flexible?
*
Yes
No
Group Type
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School Group
Corporate Group
Church Group
Youth Group
Community Group
Scouts & Adventure Guides
Faith-Based Group
Other
Estimated number in group
*
Housing Request
*
Rustic Cabins
Stewart Lodge
Navajo Village Cottages
Conference Center
No housing - Day trip only
For more information on lodging visit https://ymcacamptockwogh.org/parents/accommodations/
Would you like meals provided by Camp Tockwogh's dining hall?
*
Yes
No
Not sure
No, but interested in bringing in own caterer
Which meals would you like provided?
Ex. Dinner on Friday, Breakfast/Lunch/Dinner Saturday, Brunch Sunday
Activities
*
Standard Activities (Archery, Climbing Wall, Canoeing, Boat Rides)
Team-building & Low Ropes Course
High Ropes Course
High Ropes Elements (Leap of Faith, Giant Swing, etc.)
Survival Craft & Fire Building
Arts & Crafts
Pool
None (Group will do all activities on own)
If you are interested in a customized program, please describe in Special Requests below.
Additional Facilities
Meeting Spaces
Group-run activity space
Campfire Areas
Sports Fields
Hiking Trails
Special Requests
Do you have any events planned? Do you need access to any equipment or facilities? Does your group have any specific needs?
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