Please use this form to request your summer 2015 dates at Samford University. Note: This form does not serve as a final confirmation or an official reservation of space. The purpose of this form is to request available dates for the Summer of 2015 and to provide estimated numbers to support the request.
All requests must be submitted on or before Monday, December 9, 2014 after which time this registration form will close.
Name of Camp / Conference
Contact Name Contact Phone
Organization Billing Address
If your organization is a non profit with 501(c)(3) status, please provide your EIN
If no EIN is provided it is assumed this is a for profit organization.
Sponsorship - Choose One
This is an internal event sponsored by an official Samford organization, academic or athletic department.
-If box above is checked, please provide the department index code
This is an external event not sponsored by an official Samford organization, academic, or athletic department.
Dates - Please list your top 3 choices for camp beginning and ending dates
1st Choice Camp Dates: through
2nd Choice Camp Dates: through
3rd Choice Camp Dates: through
Estimated Number of Persons Attending
Staff: + Campers/ Conference Attendees: = Total Estimate of Attendees
Estimated Number of Residence Hall Rooms needed for overnight stays (Each room accommodates 2 guests)
Age Range of Campers: Lowest Age to Highest Age
Estimated Number of Cafeteria Meals (per person):
Breakfast: Lunch: Dinner: