LITTLE CANADA CAMP
PO Box 97, Ear Falls, Ontario P0V 1T0
RESERVATION REQUEST
Name: ________________________ Phone: (______)__________________
Address:__________________________ City, State, Zip: ____________________________

Arrival Date: ______________

Departure Date: ______________
Year: __________
Requested Cabin Number: ____ Requested Number of Beds: ____
Number in party: ____ Men:____ Women:____ Children (6-15) : ____ Children (under 6): ____
Amount of Reservation Deposit Enclosed: $_______________________
Make checks payable to Little Canada Camp ($150 per person)