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ONE CIVIC SQUARE JAMESON CAMP CHECK AMOUNT: $*******765.00*
;M r° CARMEL, INDIANA 46032 001 BRIDGEPORT 4ROAD CHECK NUMBER: 311300
no„ CHECK DATE: 05/09/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 CK REQUEST 765.00 FIELD TRIPS
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Jameson Camp �II�Y 0 1 2017
2001 Bridgeport Rd. Indianapolis IN 46231
317-241-2661 317-241-2760(FAX) v
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Challenge Course Agreement & Invoice
Organization Name: Carmel Clay Parks &Recreation
Contact Person: Jennifer Gray
Address: 10404 Orchard Park Dr.South
City: Indianapolis State: IN Zip: 46280
Telephone: (day) 317-679-9867 (evening)
Email: jgray@carmelclayparks.com
Dates and times of Event: June 8,2017 11am-3:30pm
Description-
Half Day Teambuilding Program-
Up to 4 hours,Minimum$170 $17.00 50 $850.00
Half Day Teambuilding Program with Zip Line or Flying $22.00
Squirrel-Up 4 hours,Minimum$220
Half Day Teambuilding Program with Climbing Tower or $32.00
High Ropes Course-Up to 4 hours,Minimum$320
Full Day Teambuilding Program- $25.00
up to 8 hours,Minimum$250
Full Day Teambuilding Program with Zip Line or Flying $30.00
Squirrel-Up to 8 hours, Minimum$300
Full Day Teambuilding Program with Climbing Tower or $40.00
High Ropes Course-Up to 8 hours,Minimum$400
1.5 Day Teambuilding Retreat with Climbing Tower or
High Ropes Course(up to 12 hours of programming), $85.00
3 meals and 1 night lodging. Minimum$850
10% Discount-quantitv of participants -$85.00
$765.00
Important things to know about your Jameson Camp Challenge Course program:
• Because staffing&pricing is dependent on the number of participants,it is important
that we have a final count two weeks prior to your arrival date. You will be invoiced
according to the number of participants we have at that time. If more participants are
added after this date,with the approval of the Jameson Camp Outdoor Education
Director,you will be invoiced for those participants separately.
• Final payment is due prior to or on the day of your event.
• A cancellation fee of 20% of the total fee is due if the program is cancelled with less
than 48-hours' notice,except for weather cancellations.
• The fee does not include any meals. Meals are available upon request for a fee.
• Meeting rooms and overnight lodging are also available upon request for a fee.
The above organization requests the use of Jameson Camp facilities and agrees individually
and collectively as follows:
1. To pay the remainder of the fees due before or on date of arrival.
2. To abide by our alcohol and tobacco free camp policy and all other camp policies.
3. Each participant must sign and submit the Challenge Course Release Form.
We agree to abide by the above listed camp policies and to abide by all financial terms
outlined on the agreement. By signing,we also indicate that we have read,understand and
agree to abide by any additional policies outlined in the "Challenge Course Guide."
Please sign and return within two weeks to reserve your date
Signature Date Sl1I ZO l--i
Title
Carmel c Clay
Parks&Recreation CHECK REQUEST
Date: 4/27/17 R P,(7 r'
MAYo32011
Check payable to: BY:
Name: Jameson Camp
Address: 2001 Bridgeport Road
City,State,Zip: Indianapolis IN 46231
Mai!check to payee _X Return check to requestor
Check Amount:$765.00 Date Required:6/8/17
Purpose of Check:Chillvillle Field Trip to Jameson Camp on 6/8/17
Supporting documentation or invoice(s)MUST be attached.
To be paid from:
PO#(if applicable)
Budget account-GL# 1082009
Budget Line Description: 4343007
Requested by(print): Jennifer Gray
Requested by(signature/date): 1' 1
Approved by(print):
_ '/W
Approved by(signature/date) a
Form recreated 3/10/15(Business Services)