2002 POTTER’S RANCH GUEST WORKSHEET (RETURN)
DATE ______________________________
NAME OF GROUP ____________________________________________ DATE(S) DESIRED ___________________________
GROUP SIZE ___________________________________________ DESIRED ARRIVAL TIME __________________________
AGES _________________________________________________ DESIRED DEPARTURE TIME _______________________
GROUP LEADER _______________________________________ HOME PHONE ____________________________________
ADDRESS ____________________________________________ WORK PHONE ____________________________________
CITY __________________________________________________ STATE ________________________ ZIP ______________
SERVICE REQUEST: PLEASE CIRCLE OR
PRINT ALL OF YOUR NEEDS
q CORPORATE
TEAM BUILDING PROGRAM q ONE DAY q TWO DAYS
PACKAGE RATES APPLY TO A GROUP SIZE OF 24 OR MORE. PRICES ARE ALACARTE FOR
LESS THAN 24.
q CEDAR
CABIN PACKAGE (includes 3 meals - BL&D, 1 night’s lodging, use of fellowship
hall & beverage bar)
q PIONEER
VILLAGE PACKAGE (includes 3 meals - BL&D, 1 night’s lodging, use of lower
level & beverage bar)
q ð
MEALS: (Minimum group size of 10 at Lodge Village
and 20 at Pioneer Village)
ðq
(Pricing on menu selection) Circle meals wanted under day of the week.
MONDAY TUESDAY WEDNESDAY
THURSDAY FRIDAY SATURDAY
B L D B L D
B L D B L D B
L D B L D
Breakfast & Lunch are served at a fixed time
of 8:00 am & 12:00 noon Evening Dinner
Meal Time: ________________
q SNACK(S)
q BEV.
BAR SERVICE (UP TO 4 HRS.) q BEV. BAR SERVICE
(UP TO 8 HRS.) q ENTIRE STAY
q LODGE/FELLOWSHIP HALL
EQUIPMENT DESIRED __________________________________________________________________________________________________
q CABINS: FOUR CABINS ARE AVAILABLE. EACH CABIN
IS A 3 BEDROOM/3 BATHROOM FACILITY WITH FULL KITCHEN AND LIVING ROOM., (TWO
PEOPLE PER BEDROOM/SIX PEOPLE PER CABIN)
CABINS DESIRED:
CABIN CABIN
CABIN CABIN
BEDROOMS DESIRED:
1 2 3 1 2 3 1 2 3
1 2 3
DAY RENTAL/NIGHT RENTAL
(CHECK-IN - 4:00 PM / CHECK-OUT - 12:00 NOON)
q
TIPI VILLAGE:
DAY RENTAL/ NIGHT RENTAL
DESIRED ARRIVAL TIME ________________________
# PEOPLE _____________________________
DESIRED DEPARTURE TIME _____________________
18’ TIPI’S (NUMBER)
1 2 3 4 5
6 7 8
26’ COUNCIL TIPI YES
NO
q TRAIL
RIDES: # OF PEOPLE __________ DATE: ________________
TIME: ___________________
q
WAGON RIDES: # OF PEOPLE _________ DATE: ________________
TIME: ___________________
q
SHADY GROVE PICNIC AREA:
# PEOPLE _____________________________
DESIRED ARRIVAL TIME ________________________
DESIRED DEPARTURE TIME _____________________
q HAYRIDE:
# PEOPLE _____________________________
DESIRED ARRIVAL TIME ________________________
DESIRED DEPARTURE TIME _____________________
q BONFIRE
WE BUILD – COST IS $10.00 DATE/TIME ______________
YOU BUILD – NO CHARGE
q
LOW RCC LOW/HIGH RCC TOWER OF POWER
ZIP LINE
# _______ #______________
# _________________ #_________
q OTHER NEEDS: (PLEASE SPECIFY) ________________________________________________________________
guest.wks
2/14/02