CAMP JONES GULCH
YMCA OF SAN FRANCISCO
ROPES COURSE
REQUEST FORM
GROUP NAME:
NUMBER OF PARTICIPANTS:
NEW GROUP?
CONTACT NAME:
NO
EMAIL:
PHONE:
(
C/
ADDRESS:
W/
H)
PHONE:
CITY:
NON-PROFIT:
YES
NO
(
STATE:
C/
W/
H)
ZIP CODE:
YES
Date of Ropes Course:
Refer to the Program Services Fee Schedule for detailed information and fees related to activities.
Day
Time(s)
Comments
STANDARD DAY
(Anytime between 9:00am-4:00pm)
Example: Saturday 4/15
9:30am-3:30pm
“Please include half hour lunch break”
HALF DAY
(Up to 4 hours)
Example:
Saturday 4/15
9:30am-2:00pm
ARE THERE ANY SPECIAL NEEDS OR REQUESTS?
Total Number of Participants:
YMCA Office Use Only
Fee per person:
$
Annual Membership Fee:
Total:
$
$