Type of Camp stay* Day Group Overnight GroupDay Trip Location* Main Camp- Includes all program areas and main camp buildings Butzel Retreat Center- Includes Butzel Pavilion (lodge) and private grounds Off-site Programming- We bring our portable programming to your location (as available)HiddenOption*{Organization Name:3}Overnight Accomodations* Main Camp- Includes central, private lodge and multiple cabins Butzel Retreat Center- Includes Butzel Pavilion (lodge) and 24 guest roomsOrganization InformationOrganization Name*Your Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Contact NameIs your billing address the same?* Yes NoBilling Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Organization Type* School Group Private Organization/ Corporation Private Non-profit Organization School DistrictOrganization Phone Number*Fax NumberOrganization Email AddressOrganization WebsiteGroup InformationGroup Name*Group Leader Name* First Last Group Leader Cell Phone Number*Group Leader Email Address* Total Number of Participants*Please enter a number from 15 to 1000.Grade of Participants*Number of TeachersNumber of ChaperonesIf applicable, how many chaperones will be accompanying your group? Please be aware of chaperone minimums in programs.Number of Adult GuestsNumber of Youth Guests (2- 11 years old)Number of Guests Under 2 years oldArrival Date* MM slash DD slash YYYY Arrival Time : Hour Minute AMPM AM/PMGroup Leader Arrival Time : Hour Minute AMPM AM/PMDeparture Date* MM slash DD slash YYYY Departure Time : Hour Minute AMPM AM/PMDeparture Time : Hour Minute AMPM AM/PMPLEASE NOTE: All cabins must be vacated by 9:00 AM on the date of your departure. Your village lodge will remain available for your use until the time of your departure, selected here.Departure Time : Hour Minute AMPM AM/PMPLEASE NOTE: All guest houses must be vacated by 10:00 AM on the date of your departure. The Pavilion (lodge) will remain available for your use until the time of your departure, selected here.Transportation Type Buses Individual Cars BothProgramProgram requests are considered tentative until a firm schedule has been approved by the group leader and Tamarack Camps. - Priority will be given on a first-come, first-served basis, based on return of the Organized Group Application and deposit. - In the event that programs are cancelled and unable to be rescheduled due to inclement weather, charges will be waived. All other program cancellations made less than two weeks prior to arrival are subject to a full charge.The following programs are high-interest, and are reserved on first-come first-serve basis with completed application and deposit. Please indicate requests by marking the appropriate programs High Ropes Tango Tower Giant Swing Rock Climbing Canoeing/ Kayaking Smoklerville/Pioneer SkillsProgram Requests* Yes, please contact me with programming options No thank you, we will be running all of our own programming Tamarack Camps will be happy to help you with any programming needs. If you would like additional information, please indicate here.Additional program requestsIf there are any other specific programs you would like to request, please list them here. If you would like assistance with choosing a program plan, please call our office at 248-627-2821.Meal InformationA minimum of 10 days notice is required to accommodate for any special dietary needs (vegetarian diet, food allergies, etc.)Does anyone have special dietary needs or food allergies of which we should be aware? Yes NoPlease explain the special dietary needs or food allergies and whom they are forDays of the Week which you will require Camp Meals Monday Tuesday Wednesday Thursday Friday Saturday Sunday We do not require any camp mealsCamp meals include meals served in the dining hall and snacks delivered to your lodge.Monday Meals Breakfast Lunch Dinner Snack (delivered to lodge)Which camp meals will you require on Monday during your stay?Tuesday Meals Breakfast Lunch Dinner Snack (delivered to lodge)Which camp meals will you require on Tuesday during your stay?Wednesday Meals Breakfast Lunch Dinner Snack (delivered to lodge)Which camp meals will you require on Wednesday during your stay?Thursday Meals Breakfast Lunch Dinner Snack (delivered to lodge)Which camp meals will you require on Thursday during your stay?Friday Meals Breakfast Lunch Dinner Snack (delivered to lodge)Which camp meals will you require on Friday during your stay?Saturday Meals Breakfast Lunch Dinner Snack (delivered to lodge)Which camp meals will you require on Saturday during your stay?Sunday Meals Breakfast Lunch Dinner Snack (delivered to lodge)Which camp meals will you require on Sunday during your stay?Would you like S'mores? Yes NoOn which evening would you like s'mores? Monday Tuesday Wednesday Thursday Friday Saturday SundayAdditional InformationDoes anyone in your group have any injuries, limitations, disabilities or behavioral/emotional issues of which we should be aware? Yes NoPlease explain:Amenities & Program Requests Multimedia Cart with Projector, Screen, DVD, Aux Capabilities Microphone, Stand, Podium Flip Charts (up to 2) & Markers Dry Erase Board on Easel & MarkersThere will be a one-time set-up fee of $25 for each of these additional amenities.Amenities & Program Requests Multimedia Cart with Projector, Screen, DVD, Aux Capabilities Microphone, Stand, Podium Flip Charts (up to 2) & Markers Dry Erase Board on Easel & Markers Coffee & Tea ServiceThere will be a one-time set-up fee of $25 for each of these additional amenities.Tables and Chairs are Available for your use at no additional charge Classroom Style U Shape Theater Circle with tables Circle of chairs without tablesIf you have a specific set-up request, please indicate it here.Recreation Equipment available at Butzel Basketball Football Shuffleboard Soccerball Volleyball Waterfront (no swimming) Firewood and starter kitPlease indicate any recreation equipment that you would like available during your stay.Does your group request the use of any specific buildings or facilities? Yes NoPlease explain:Terms and ConditionsPlease review each of the Terms and Conditions described below and check each box.I, as an authorized person to sign and enter into contracts on behalf of my group or organization, understand, acknowldege and agree as follows: 1. BOOKING: A non-refundable deposit and completed application are due upon booking requested date(s). PLEASE NOTE: Dates cannot officially be held unless both deposit and completed application are received and approved. 2. BILLING: Groups will be billed for 50% of the balance due (less the deposit amount) based on the quote provided at the time of application which will be due 90 days prior to the arrival date. The remaining balance will be due in full 3 days prior to the group’s arrival date. An actual count will be taken during the group’s stay. Any participants above the expected number quoted will be billed after the arrival date. The minimum overnight group charge is for 16 guestrooms. The minimum program charge is for 15 people. 3. CANCELLATION: Cancellations must be made in writing. Deposits are non-refundable but can be applied towards an alternate date/booking. The total trip cost will be billed and is due prior to the scheduled arrival date for cancellations made within 2 weeks (10 business days) of the arrival date. 4. RESERVATIONS: Tamarack Camps retains the right to assign groups to guesthouses and guestrooms according to group size and facility availability. 5. LATE CHECKOUT FEE: I am responsible for my group’s timely checkout of guest houses and rooms. Room checkout time is 10 a.m. A late checkout fee of $100 per room, per hour will be charged after 10 a.m. 6. LIABILITY: I am responsible for the supervision of all members of my organized group; ensuring their safe and proper behavior, and care of all equipment and facilities. I agree to be responsible for all charges associated with any damage of facility, equipment, and/or property that may be inflicted by any member(s) of my organized group. The Tamarack Camps experience involves activities that come with certain risks and uncertainties that vary according to my organized group’s program. These activities may include, but are not limited to: ropes courses, canoeing, biking, climbing, swimming, diving, land sports, campfires, weather conditions, plants, insects and rugged terrain. I assume these risks and agree to allow all members of my organized group to participate in all Tamarack Camps activities. I hereby agree to release, indemnify, defend (including the payment of actual attorneys’ fees and costs of a judgment/settlement) and hold harmless Tamarack Camps, officers, directors, agents and employees, from any and all liability for damage, injury, death or illness to and/or caused by any member of my organized group or his/her property that directly or indirectly relate to Tamarack Camps, whether on or off camp property. I am responsible for providing certified CPR & First Aid personnel and equipment for my organized group. In the event of an emergency, Tamarack Camps and/or emergency responders have authority to act on my behalf according to their best judgment. I understand that I am responsible for the costs relating to treatment of any member of my organized group. The undersigned’s exclusive method for resolving disputes hereunder shall be by arbitration in accordance with the Rules of American Arbitration Association (the “AAA”) before one arbitrator designated by the AAA. Judgment may be rendered by the court upon the arbitration award and execution may be issued upon the judgment. The exclusive venue and jurisdiction for any arbitration shall be in Oakland County, Michigan. The liability of Tamarack Camps shall be limited to the program fee. All claims by the undersigned will be extinguished if not brought within 180 days following the incident giving rise to such dispute. 7. WATERFRONT SUPERVISION: I understand that the Butzel Conference Center waterfront is an unsupervised waterfront area, therefore any activities taking place in or on the Butzel Conference Center waterfront is at my group members’ own risk, and minors under the age of 18 must be under direct parental supervision at all times. In the event that my group requests use of the Butzel Conference Center waterfront, Tamarack Camps must be notified and grant approval at least 10 days prior to my group’s date of arrival. I understand that I may request waterfront supervision by a certified lifeguard at an additional cost. 8. BOUNDARIES: One on one interaction between Tamarack Camps Employee's and children is only permitted in open settings (i.e. fields, dining hall, gym, etc.) Staff members shall never be in one on one situations with campers in private, secluded areas (i.e. cabins, lodges, tents, in the woods, etc.) to avoid friendliness from being misinterpreted as crossing a boundary. 9. NOTIFICATION: I am responsible for notifying Tamarack Camps of all physical, dietary, medical and/or emotional needs of the members of my organized group. 10. RELEASE: Members of my organized group may have their photograph and/or image used by Tamarack Camps.I, as an authorized person to sign and enter into contracts on behalf of my group or organization, understand, acknowldege and agree as follows: 1. BOOKING: A non-refundable deposit and completed application are due upon booking a day or an offsite group. A non-refundable deposit and completed application are due upon booking a residential group. PLEASE NOTE: Dates cannot officially be held unless both a deposit and a completed application have been received. 2. BILLING: Groups will be billed for 50% of the balance due (less the deposit amount) based on the quote provided at the time of application which will be due 90 days prior to the arrival date. The remaining balance will be due in full 3 days prior to the group’s arrival date. An actual count will be taken during the group’s stay. Any participants above the expected number quoted will be billed after the arrival date. The minimum overnight group charge is for 20 people. The minimum program charge is for 15 people. 3. CANCELLATION: Cancellations must be made in writing. Deposits are non-refundable but can be applied towards an alternate date/booking. The total trip cost will be billed and is due prior to the scheduled arrival date for cancellations made within 2 weeks (10 business days) of the arrival date. 4. RESERVATIONS: Tamarack Camps Outdoor Education retains the right to assign groups to villages and programs according to group size and facility availability. 5. LIABILITY: I am responsible for the supervision of all members of my organized group; ensuring their safe and proper behavior, and care of all equipment and facilities. I agree to be responsible for all charges associated with any damage of facility, equipment, and/or property that may be inflicted by any member(s) of my organized group. The Tamarack Camps Outdoor Education experience involves activities that come with certain risks and uncertainties that vary according to my organized group’s program. These activities may include, but are not limited to: ropes courses, canoeing, biking, climbing, swimming, diving, land sports, campfires, weather conditions, plants, insects and rugged terrain. I assume these risks and agree to allow all members of my organized group to participate in all Tamarack Camps Outdoor Education activities. I hereby agree to release, indemnify, defend (including the payment of actual attorneys’ fees and costs of a judgment/settlement) and hold harmless Tamarack Camps, officers, directors, agents and employees, from any and all liability for damage, injury, death or illness to and/or caused by any member of my organized group or his/her property that directly or indirectly relate to Tamarack Camps, whether on or off camp property. I am responsible for providing certified CPR & First Aid personnel and equipment for my organized group. In the event of an emergency, Tamarack Camps and/or emergency responders have authority to act on my behalf according to their best judgment. I understand that I am responsible for the costs relating to treatment of any member of my organized group. The undersigned’s exclusive method for resolving disputes hereunder shall be by arbitration in accordance with the Rules of American Arbitration Association (the “AAA”) before one arbitrator designated by the AAA. Judgment may be rendered by the court upon the arbitration award and execution may be issued upon the judgment. The exclusive venue and jurisdiction for any arbitration shall be in Oakland County, Michigan. The liability of Tamarack Camps shall be limited to the program fee. All claims by the undersigned will be extinguished if not brought within 180 days following the incident giving rise to such dispute. 6. LATE CHECKOUT FEE: I am responsible for my group’s timely checkout of cabins & villages. Cabin checkout time is 9 a.m. A late checkout fee of $100 per cabin, per hour will be charged after 9 a.m. 7. WATERFRONT SUPERVISION: I understand that all activities taking place in or on any body of water on Tamarack Camps property must be supervised by a certified lifeguard provided by Tamarack Camps. 8. NOTIFICATION: I am responsible for notifying Tamarack Camps Outdoor Education of all physical, dietary, medical and/or emotional needs of the members of my organized group. 9. RELEASE: Members of my organized group may have their photograph and/or image used by Tamarack Camps. 10. RULES OF BEHAVIOR: All members of my organized group agree to adherence to Tamarack Camps “RULES OF BEHAVIOR”, available upon request. Tamarack Camps reserves the right to dismiss any member that does not abide by these rules which include our no weapons, no drugs or alcohol, and no pet policies. 11. MEDICATION: Due to the American Camp Association regulations, ALL medication must be controlled under the possession of the group leader or an assigned adult. Tamarack Adventure and Retreat Center will not provide, distribute, or be responsible for the group's medication. Upon request, Tamarack Adventure and Retreat Center can provide a locked box for medication storage for your stay. 12. BOUNDARIES: One-on-one interaction between Tamarack Adventure and Retreat Center Employees and children is only permitted in open settings (i.e. field, dining hall, gym, etc.). Staff members shall never be in one-on-one situations with campers in private, secluded areas (i.e. cabins, lodges, tents, in the woods, etc.) to avoid friendliness from being misinterpreted as crossing a boundary. Tamarack Adventure and Retreat Center advises that all staff and chaperones assigned to your group should receive training before coming to camp to follow the same procedures in regard to one-on-one interactions with children. 13. CAMP LICENSURE: Will be required for any group staying 4 nights or longer and can be obtained at www.michigan.gov/dhsConfirm that you agree*I have read the above TERMS & CONDITIONS and acknowledge that it is my responsibility to be familiar with all registration materials, forms, policies, guidelines and details provided by Tamarack Camps as well as those required by my own group or organization. I understand that I am responsible for appropriate screening policies for any members of my group who have responsibility for or access to minors. I understand that it is my responsibility to have onsite: names and addresses of all participants, emergency contacts and telephone numbers, a listing of known allergies or health conditions requiring treatment, restrictions, or other accommodations, as well as a signed permission form to seek emergency treatment for minors who are without a parent onsite. I have reviewed and discussed the above TERMS & CONDITIONS with all members of my organized group and voluntarily agree to be bound hereby. THIS AGREEMENT STANDS AS MY DIGITAL SIGNATURE Yes, I understand and agreeYour Name First Last Your TitleToday's DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920TAX-EXEMPT ID #Deposit Due $0.00 A deposit and completed application must both be submitted in order to secure dates, contingent upon confirmation of booking by Tamarack Camps Staff.I would like to submit our group deposit via:*Online Payment - I will pay by Credit Card/PayPalOffline Payment - I will mail a CheckAdditional Comments/ RequestsCommentsThis field is for validation purposes and should be left unchanged.Δ