MEMBERSHIP INFORMATION

APPLICATION FEE IS $35,

 MEMBERSHIP COST IS $75 PER YEAR 
         MEMBERSHIP INCLUDES
  2 GATE CARDS, USE OF PICNIC AREA, BOAT RAMP, AND SWIMMING AREA.
THERE IS AN ADDITIONAL CHARGE FOR CAMPING AND USE OF THE PAVILIONS AND CHAPEL.

PLEASE CALL THE OFFICE FOR CAMPING RATES
RATES ARE ALSO ON PAGE 2 OF THIS SITE
423-842-7011

MEMBERSHIP APPLICATIONS CAN BE OBTAINED BY CALLING THE OFFICE. IF YOU WOULD LIKE A TOUR OF THE GROUNDS PLEASE CALL THE OFFICE FOR AN APPOINTMENT.
423-842-7011

 YOU MAY ALSO COPY AND PASTE AN APPLICATION FROM THIS PAGE

APPLICATIONS CAN BE MAILED TO THE OFFICE ALONG WITH A  CHECK FOR $35, AND COPIES OF DRIVERS LICENCES FOR YOU AND YOUR SPOUSE
CAMP COLUMBUS
8601 CAMP COLUMBUS ROAD
HIXSON, TN 37343
APPLICATIONS WILL NOT BE PROCESSED WITHOUT THE APPLICATION FEE AND DRIVERS LICENCE INCLUDED

IT WILL TAKE 2 TO 4 WEEKS TO FIND OUT IF YOU ARE APPROVED FOR MEMBERSHIP
WE DO A CRIMINAL BACKGROUND CHECK
AND
THE BOARD OF DIRECTORS MUST APPROVE YOUR APPLICATION

MEMBERSHIP APPLICATION

Camp Columbus, Inc.

8601 Camp Columbus Road

Hixson. Tennessee 37343

Telephone: (423) 842-7011

 

 

 

WWW.CAMPCOLUMBUSTN.COM

CAMPCOLUMBUS@GMAIL.COM

 

Application for membership

All information on this application will be used solely to determine membership eligibility.

Application fee $35.00 (non-refundable)

Date of Application:________________ Approved/Disapproved

Head of Family (Name)

-------------------------------------------------------------------------------------------------------------------------------------------
FIRST MIDDLE LAST

Birth Date_____________________________________________

 

Social Security Number________________________________________________________________

 

Drivers License Number_______________________________________________________________ _

 

Home Address _______________________________________________________________________

 

______________________________________________________________________________________

 

PreviousAddress_______________________________________________________________________

 

_____________________________________________________________________________________

 

 

Email Address______________________________________________________________________

 

Home Telephone Number ___________________________________________________________

 

Cell phone number ________________ _________________________________________________

 

 

 

 

 

Number in Family Under 21___________________

 

 

 

 

Spouse

___________________________________________________________________________________________

FIRST MIDDLE LAST

Birth Date_____________________________________________

 

 

Social Security Number____________________________________________________________

 

Drivers license Number____________________________________________________________

 

 

 

 

 

 

 

 PRIMARY

 

Employed by_________________________________________________________________ How Long _____

 

 

Employer Address and Phone Number ____________________________________________________

 

_______________________________________________________________________________________

 
SPOUSE

Employed by_________________________________________________________________ How Long _____

 Employer Address and Phone Number ____________________________________________________

 _______________________________________________________________________________________




REFERENCES


First Personal Reference Name. Address and Phone Number

________________________________________________________________________________________________

 

________________________________________________________________________________________________

 

 

 

Second Personal Reference Name. Address and Phone Number

__________________________________________________________________________________________

 

__________________________________________________________________________________________

 

 

 

 

 

 

I hereby make application for a twelve (12) month permit to Camp Columbus. I understand that a criminal background check will be done. The yearly non-refundable donation is $75.00.

If accepted I will be entitled to use the facilities for 12 months subject to the rules of the Camp.

Camp rules are strictly enforced, violation will result in revocation of membership and confiscation of the gate cards. If accepted I will not give or lend my cards to anyone.

 

 

 

Applicant Signature __________________________________________________

 

 

 

 

 

 

 

OFFICE USE ONLY___________________________

Card No. ___________Donation Paid $_______________

 

 

Comments_________________________________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

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