RESERVATION FORM –July 7^th deadline

Sierra Club Pennsylvania Chapter Annual Members Outing/Retreat Weekend

July 13-15, 2007

Laurel Hill State Park, Somerset County, PA

Name(s): _____________________________________________________________

Phone: ________________________________________________________________

Address: ______________________________________________________

_____________________________________________________________

E-mail: ________________________________________________________________

Are you a Sierra Club member? ______ yes _____no*

*If no, would you like to become a member so you may attend the outing?

Future details about the July retreat: ___ E-mail ___Hard copy in the mail

We will send you confirmation of your reservation, details about hikes and activities, and reminders. How would you prefer to receive this information?

Group Camp:

Let us know which nights you plan to attend, please circle.

Friday night only Saturday night only Both Friday and Saturday nights

How many?

Please tell us how many will attend and the number of tents

___ # of Adults ___# of Children ______ Age(s)

___ # of tents

Potluck Dinner:

Sierra Club will provide hot dogs and burgers; tell us how many you plan to eat. Please bring a covered dish to share with other members.

_______Hamburger _______Vegetarian Burger

_______Hot Dog _______Vegetarian Dog

Return completed reservation form by JULY 7th to:

Sierra Club PA Chapter – July Outing

P.O. Box 663

Harrisburg PA 17108

pennsylvania.chapter@sierraclub.org