We would like to reserve the following dates for our group to come to the Yakama Christian Mission:
Dates: from ______________ to _______________
Time of arrival: ______________(must be on-site by 5pm) Time of departure: 12:00 ( noon) Fri.

We will be bringing a minimum of _______ people, and a maximum of _________ people.
Enclosed is a check for $______________, which is a deposit of $50 per person, for the maximum number of participants, which will secure the dates listed above, for our group.
(We understand that this fee will be applied toward the total cost, but is non-refundable.)

We will provide one adult per every 5 youth.
Ages we are bringing: _____________

We will be responsible to pay the full amount due for the minimum number listed unless that number is reduced 180 days prior to the arrival date.

Rates per person are as follows: $275.00 per person/Sunday thru Friday.
Rates include lodging, and work supplies.

A final exact count is due no less that 10 days prior-to the arrival-date.
We understand that the balance of the bill is due to be paid in one check upon arrival unless other arrangements have been made prior-to the arrival date.

Any damage to the premises, equipment or property is the responsibility of the contracting group to repair or replace. (The contracting group and authorized representative is responsible for these financial obligations.)

_____(check) included is the “Proof of group medical and liability insurance” while at YCM.

(Normally, this is a phone call to your provider. At times an insurance company will provide a rider naming YCM as insured.)

I am aware that YCM seeks to operate at full capacity of 30-40 people and reserves the right to book additional groups for our date if our group does not reach that number.

Organization/Group Name: ________________________________ phone: ___________________

Contact person/ group leader: ________________________________ phone: ___________________

Address: ___________________________________________________________(street/city/state/zip)

Email: __________________________________ fax: ____________________________

Group Leader's Signature: _____________________________________ date: _________________