Person to contact in case of emergency : _______________________ Phone# _________________
LODGING PREFERENCE:***:
Cabin/Family _______ Cabin/Hunters ________ Trailer _______ Tent _______ Other _________
*** If you will be coming as a group or will be meeting others here and want to share the same cabin or campsite; list their names here. Total number in group: ________
Please list name & age of attending youth: ________________________________________________
EXPECTED ARRIVAL DATE ______________ EXPECTED DEPARTURE DATE ______________
Number of Adults (16 & over) _______ X Number of Days _______ X $40/day = $ ____________ ($225 max per adult/ = Week Rate)
Number of youths (6 to 15) ________ X Number of Days _______ X $20/day = $ ____________ ($120 max per youth = Week Rate)
(No charge for children 5 and under when accompanied by registered adult)
Number of kitchen chore buyouts _________ X $50 per adult = $ ____________
(See below for explanation)**
.
Total Due $ ____________
A minimum deposit of 50% is required with registration. To be eligible for an ealry registration drawing (value over $150, you must be paid in FULL by SEPTEMBER 30)
Deposit $ ____________
Balance Due on arrival $ ____________
**Everyone, including hunters, spouses, and families, are expected to help out in the kitchen washing dishes, cleaning the lodge after meals, cleaning restrooms, etc. at least a couple of times during the week. Those staying only a few days will also be asked to volunteer. You will be asked your preference for time when you register. If for some reason you do not want to participate in this responsibility, you may "buy out" of the requirement for an additional $50 per adult. However, be forewarned, you will miss a unique opportunity to fellowship. You might even learn a few tricks, or where the hot spots are as you work along side others!.
Waiver of Liability
Each adult registering on this application must sign the waiver of liability. Any person under 18 years as listed on this form must have a parent or legal guardian signature.
As a participant or visitor in any capacity of the above hunt, I agree that the Lord of the Harvest Archery Club, Christian Bowhunters of America, their officers and members will not be liable for any sickness, injury, or property damage or loss that may occur to me or my property during my attendance at this function. Furthermore, I agree to hold harmless the Lord of the Harvest Archery Club, Christian Bowhunters of America, their officers and members against any and all claims arising out of my actions during attendance at this function.
Office Use Only
Received: ______
Class: ______
Cabin group _____
Cabin # _____
Please print and mail with
registration fees to:
LOTHAC -Trophies of Grace Deer Hunt
PO Box 294
Vandalia, OH 45377
Signature of registrant: ____________________________________ Spouse (if attending):___________________________________
Print name of parent/legal
guradian if under 18 listed above:______________________________Parent/legal guardian signature____________________________
Pre-Registration Rates
REGISTRATION MUST BE RECEIVED BY SEPTEMBER 30 TO RECEIVE THESE DISCOUNTED RATES
Number of Adults (16 & over) _______ X Number of Days _______ X $50/day = $ ____________ ($400 max per adult)
Number of youths (6 to 15) ________ X Number of Days _______ X $25/day = $ ____________ ($200 max per youth)
Walk-In or Late Registration Rates
THESE RATES APPLICABLE AFTER SEPTEMBER 30 INCLUDING WALK-INS
Rates include lodging in cabin and food for entire period. No discount for trailers, tents, or camping in other areas of park.
