Residence Life - Summer Camp/Conference Housing

Summer Camp/Conference Housing Reservation Form

Camp/Conference Information

Camp/Conference Name: *

Sponsoring Department: *

Contact Information
Sponsoring Department Contact Person

First & Last Name: *

Phone Number: *

E-mail

Emergency Contact Person (any person readily available throughout the duration of this camp/conference)

First & Last Name: *

Phone Number: *

Participant Information
Number of Participants

Male: *

Female *

Number of Participants Under the Age of 18: *

Number of Participants Over the Age of 18: *

Number of Participants Requesting Double Occupancy: *

Number of Participants Requesting Single Occupancy:* *

*Single occupancy is subject to availability at an additional cost. Please refer to the website for occupancy cost information.

Number of Counselors (1:25 ratio for groups under the age of 18): *

Attach List of Participant and Counselor Names:*

10mb file limit

*If a list is not yet available, please email a list at least one week prior to the start date of the camp/conference.

Check-In/Check-Out Information

Check-In Date *

Month Day Year

Check-In Time Starts *

: Hour Minutes AM/PM Option

Check-In Time Ends *

: Hour Minutes AM/PM Option

Check-Out Date *

Month Day Year

Check-Out Time Starts *

: Hour Minutes AM/PM Option

Check-Out Time Ends *

: Hour Minutes AM/PM Option

List any additional check-in/check-out dates and times below:

Special Requests

Will bed linen be needed? ($5.00/set/week) *

Yes No

Number of Linen Sets Needed:

List any other special requests below:

If any changes need to be added to this form once it has been submitted, please email msu.housing@minotstateu.edu or abigail.graves@minotstateu.edu.