All applicants must provide a copy of your drivers License
APPLICATION FEE IS $35,
MEMBERSHIP COST IS $100 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 PAVIEL.
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
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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