Facility Rental Request – Seventh-day Adventist® Church

Facility Rental Request – Camp Pugwash

This field is for validation purposes and should be left unchanged.

This form is intended for Departments, Ministries, and Churches who would like to request to use Camp Pugwash campgrounds and facilities. Please fill out this form and it will automatically be submitted to the Administrative Committee for approval.

Please note that you will have to provide a designated person to be responsible for the event and who will check-in and out with the Camp Ranger. You will also need to provide a cook and accommodation coordinator for the event who will be required to work with our office for spaces/sites available.

Which Department/Church/Ministry do you represent?*

What dates are you requesting the use of Camp Pugwash?*

What type of Event will you be hosting? (Please include the type of activities, number of people anticipated, etc.)*

What facilities are you requesting for your group's use?*

Please indicate your Full Name.*

First Last

What Phone Number can we use to reach you?*

Please include your email address.*

Acknowledgement, Agreement, and Submission.

By entering your name below, you acknowledge that submitting this request does not guarantee your use of the facilities. You also agree to abide by all Camp Pugwash policies and wish to submit your request for approval. You will be notified via email once the decision has been made.

Please enter your Full Name below:*

First Last

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