GRANT WALKER 4-H EDUCATIONAL CENTER Reservation Form!AgCenter

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1 GRANT WALKER 4-H EDUCATIONAL CENTER Reservation Form!AgCenter Name, Date Arrival Date,Arrival Time Departure Date Departure Time Organization!Group Attending Telephone Number Fax Number Address Address Educational Purpose (required) Special Arrangements Facility Information (Prices are subject to change.) Day(s) $10 per person! day Approx. number of: males females Day(s) Multipurpose $IOO/day (maximum capacity 300) Day(s) Educational $25/per section!day (4 sections, maximum capacity per section 40) Rm#1(Snack Room)Rm#2(Computer Lab)Rm#3(class)Rm#4(class) Day(s) Educational Bldg., at $loo/per day (maximum capacity for meeting setup 80, plus an additional classroom for meeting space with a maximum capacity of 20) Setting Up & Removing Chairs & Tables in Ed. Bldgs and Multipurpose $25 (describe in special arrangements) Day(s) $100 per day V Day(s) Shooting $25 per Y2 day V Day(s) Archery $25 per Y2 day M Day(s) Canoe $25 per Y2 day V

2 Day(s) of Kitchen $50/day - Use of our kitchen for cooking purposes will be $50. If there is food brought in from an outside source with intent to use the kitchen for basic setup and serve, there is no charge. V Requires a certified lifeguard, shooting instructor, or archely instructor. A copy ofthe certification must be mailed or faxed to Christine Bergeron prior to the event. Camp Use Rules c Group will be billed for any damages incurred. c Facility is to be left clean or a $50 cleanup fee will be assessed per building & $50 per cabin. c A $50 key fee will be charged for all keys not returned at the end of camp use. c NO ALCOHOL (Exceptions must be approved through the Vice Chancellor and Director of LCES with every use.) Meal Schedule: Breakfast / 7:30-8:00 A.M.; Lunch / Noon; Dinner /6:00 P.M. (unless otherwise requested) Meal charges will increase if actual numbers served increase. Please indicate the number of persons for meals (for which you guarantee 2 weeks ahead) and lodging on the appropriate day in the chart below: Breakfast Lunch Dinner Snacks Lodging Sunday Monday Tuesday Wednesday Thursday Friday Saturday Requested by: Approved by: Signature ofevent Coordinator (Signature indicates approval ofabove statements) Signature of Camp Director (Signature indicates availability ofcamp) Please complete, sign and return pages as soon as possible for camp confirmation. You may either or mail the fontis to the address below. Christine Bergeron Interim 4-H Camp Director 3000 Highway 8 Pollock, LA cbergeron@agcenter.lsu.edu

3 Grant Walker 4-H Educational Center Menu Selections Winter 2012 Breakfast Continental $7.00/per person Choice of Biscuits or Muffms Fresh Seasonal Fruit Yogurt with Grano la Includes all condiments Coffee and Orange Juice included Bottled Water - $1.25/each Assorted Hot Teas - $1.00/each Southern Style Breakfast $8.00/per person Scrambled Eggs Please choose one o/the/ollowing meats: Bacon, Sausage, or Ham Please choose one o/the/ollowing sides: Grits, Oatmeal, or Hashbrowns Please choose one ofthe/ollowing breads: Biscuits or Muffins Includes seasonalfresh fruit & all condiments Coffee and Orange Juice included Bottled Water - $1.25/each Assorted Hot Teas - $1. OO/each

4 Grant Walker 4-H Educational Center Menu Selections Winter 2012 Lunch $10.50/per person PLease choose: One entree, two sides, one salad and one dessert ALL meals include yeast rolls and condiments Dinner $1J.50/per person PLease choose: One entree, two sides, one salad and one dessert ALL meals include yeast rolls and condiments Entree Oven Baked Chicken Red Beans & Rice Oven Baked Turkey (min. 50 people) BeefTips & Gravy Baked or Fried Catfish Fajitas with Roasted Peppers & Onions Charbroiled Hamburgers Sides Mashed Potatoes & Gravy Rice & Gravy Steamed Broccoli Seasoned Green Beans Corn Glazed Baby Carrots Spanish Rice Hushpuppies French Fries Black Beans Cornbread Dressing Salad Garden Salad Spinach Salad Dessert Brownies Peach Cobbler Apple Cobbler Assorted Cookies Banana Pudding Strawberry Shortcake Sweet Potato Pie

5 Soup, Sandwich and Salad Combo Please choose one ofeach Soups Fire Roasted Vegetable Broccoli and Cheese Potato Salad Green Salad Spinach Salad Sandwich Wraps Grilled Chicken Chicken Caesar Turkey Club Ham & Cheese $9.50/per person Beverages Iced Tea included with Lunch and Dinner Bottled Water - $1.25 each Soft Drinks - $1.25 each Snacks $3. OO/per person Yogurt Parfaits Toppings include: (Granola, Raisins, and Seasonal Fresh Fruit) Brownies Assorted Cookies Seasonal Fresh Fruit

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