Application for use of Winka Cottage

Battle Creek Public Schools Outdoor Education Center, Clear Lake Camp
10160 S M-37 Hwy, Dowling, MI 49050. www.clearlakecamp.org
Phone: (269) 721-8161, Fax: (269) 721-1071

Contact person Contact person * First Last
Expected Group Size. If the group is larger than 6 people, there will be an additional $10 charge per person. *
Arrival date Arrival date * / MM / DD YYYY
Approximate time (Check in is no earlier than 3 pm on arrival day, unless the director has made an exception) Approximate time (Check in is no earlier than 3 pm on arrival day, unless the director has made an exception) : HH MM AM/PM
Departure date Departure date * / MM / DD YYYY
Approximate time (No later than 11 am, unless the director has made an exception) Approximate time (No later than 11 am, unless the director has made an exception) : HH MM AM/PM
Total Due. Daily Rate is $185.50 which includes sales tax. Two night minimum stay required. Payment by cash, check or credit card must be postmarked at least 2 weeks in advance of arrival.

Refunds are permitted only with at least 2 weeks’ written notice of cancelation before the arrival date. For all other cancellations, payment is nonrefundable.
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Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *
The person signing this application testifies that he/she is either the responsible party or a duly authorized representative for the organization. This signature binds the responsible party or the organization to observe rules and regulations as printed on the reverse side and to make full payment of the charges for usage to the Battle Creek Public Schools.
Signature of applicant, draw in the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date of request Date of request * / MM / DD YYYY
Michigan laws require that sales or use tax must be paid on all sales transactions of meals and lodging excepting where the consumer is known to be tax exempt under the provisions of the law. We shall therefore assess the current 6% tax to all invoices unless the following statement has been signed, and the tax exempt identification number is shown.
Is this group claiming tax exempt status?
If yes, signature must be affixed below.

I hereby attest that the organization whose name appears on this application is a tax exempt non-profit organization and that payment due the Battle Creek Public Schools upon receipt of invoice will be paid by funds administered by said organization. In the event that at a later date it should be determined that said organization does not possess appropriate tax-exempt status I hereby bind said organization and/or myself to make retroactive payment of tax due to the Battle Creek Public Schools.
Our tax-exempt identification number is
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
TERMS AND CONDITIONS FOR THE USE OF WINKA COTTAGE
All persons, firms, corporations, organizations, or associations shall comply with and be bound by the following terms and conditions. Initial next to each section to indicate you have read each section and will comply with the rules.
1. Before departure, guests are expected to leave the place as they found it.
 Dishes cleaned and shelved.
 Remove all garbage (inside and out) to the dumpster by the lodge.
 Bundle used linens and leave on the landing by the stairs in the cottage.
 Turn off all lights and close windows.
 Cottage swept.
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Must be between 2 and 4 characters. Currently Entered: 0 characters.
2. Smoking is prohibited in Winka cottage and all other buildings at the OEC.
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Must be between 2 and 3 characters. Currently Entered: 0 characters.
3. Simple rearrangement of the furniture is acceptable with the understanding that it is to be returned to original arrangement by the end of the visit.
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Must be between 2 and 3 characters. Currently Entered: 0 characters.
4. Canoes, paddles, rowboats, oars, and life jackets are provided for exclusive use of cottage residents. Life jackets, oars and paddles are stored at the paddle shed. Life jackets are required when canoeing or rowing. Everything should be returned to original location. Additional use of any camp equipment is restricted unless the Director grants specific permission.
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Must be between 2 and 3 characters. Currently Entered: 0 characters.
5. The usage fee allows participants use of the cottage, the adjacent lakefront, and the swimming area. Use of the rest of the camp grounds, dormitories, and the main lodge is restricted unless the Director grants specific permission.
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Must be between 2 and 3 characters. Currently Entered: 0 characters.
6. Respect private staff cabins by not planning activities near staff living quarters. Quiet hour is from 11 pm to 7 am.
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Must be between 2 and 3 characters. Currently Entered: 0 characters.
7. Respect the grounds. Stay on the trails as much as possible. Refrain from breaking branches or picking live plants. No littering.
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Must be between 2 and 3 characters. Currently Entered: 0 characters.
8. Park cars in the upper parking lot, or Winka Cottage parking area. Keep the road open.
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Must be between 2 and 3 characters. Currently Entered: 0 characters.
9. The renter of Clear Lake Camp shall assume all liability for damages to camp owned property caused by accident, vandalism, or deliberate misuse and said organization or individual will be billed for all replacement costs labor. When damage to property or injury to persons is the result of the acts or neglects of the renter, the renter shall save Battle Creek Public Schools, Battle Creek, Michigan, and the Outdoor Education Center at Clear Lake Camp harmless from any liability by reason of such damages. Please take reasonable care of all equipment and the facility and report any damage immediately.
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Must be between 2 and 3 characters. Currently Entered: 0 characters.
10. Weapons including but not limited to guns, a starting pistol or BB gun; revolver; pistol; dagger; dirk; stiletto; knife with a blade over 3-inches in length; pocket knife opened by a mechanical device; iron bar; or brass knuckles are not permitted on school property, including the Outdoor Education Center at Clear Lake Camp.
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Must be between 2 and 3 characters. Currently Entered: 0 characters.

Application for use of Winka Cottage

Application for use of Winka Cottage

TERMS AND CONDITIONS FOR THE USE OF WINKA COTTAGE All persons, firms, corporations, organizations, or associations shall comply with and be bound by the following terms and conditions. Initial next to each section to indicate you have read each section and will comply with the rules.

2. Smoking is prohibited in Winka cottage and all other buildings at the OEC.

3. Simple rearrangement of the furniture is acceptable with the understanding that it is to be returned to original arrangement by the end of the visit.

5. The usage fee allows participants use of the cottage, the adjacent lakefront, and the swimming area. Use of the rest of the camp grounds, dormitories, and the main lodge is restricted unless the Director grants specific permission.

6. Respect private staff cabins by not planning activities near staff living quarters. Quiet hour is from 11 pm to 7 am.

7. Respect the grounds. Stay on the trails as much as possible. Refrain from breaking branches or picking live plants. No littering.

8. Park cars in the upper parking lot, or Winka Cottage parking area. Keep the road open.

TERMS AND CONDITIONS FOR THE USE OF WINKA COTTAGE
All persons, firms, corporations, organizations, or associations shall comply with and be bound by the following terms and conditions. Initial next to each section to indicate you have read each section and will comply with the rules.