pipsicouse

Pipsico Scout Reservation

Facilities & Equipment Use Application

This form is in the beta testing stage. Pricing is absent from this online tool.

CONTACT INFORMATION

First Name

required

Last Name

required

Suffix

Address

required

City

required

State

required

Zip Code

required

Phone

required

Email

required

Please Confirm

USE INFORMATION

Scouting Use:

Yes No

required

Organization

required

Event Name / Title

Arrival Date

required

Arrival Time

required

Departure Date

required

Departure Time

required

Participants (approximate numbers for each age category)

Aged 6-10

required

Aged 11-17

required

Aged 18-20

required

Aged 21+

required

Request Facilities In/On

Rotary (family camping) Lions (established facility) Kiwanis (primitive camping) Powhatan (primitive camping) Red Trail Admin Area

FACILITIES REQUESTED

Rotary

Camping

Red Trail

Camping/Hiking

Powhatan

Camping

Kiwanis

Tent Camping OA Shelter (lg. pavilion) "K" Building (renovating)

Lions

Admin Area

EQUIPMENT REQUESTED

Additional Equipment Requested

Aditional Information