SITE FEE ___________ X # OF NIGHTS = ___ + 10% TAX = $___________ CHECK CASH CREDIT V MC DIS
NAME ____________________________________________________ EMAIL _________________________________
HOME ADDRESS _____________________________________ CITY _____________________ ST _____ ZIP _______
DRIVER LICENSE# _____________________ HOME PHONE __________________CELL ______________________
RV TYPE: CLASS A__ CLASS C ___ 5TH WHEEL___ CAMPER ___ VAN___ TRAILER TENT ___ TENT ____
RV MODEL _____________________ SIZE _______ COLOR _____ STATE/ LIC __________ / ___________________
VEHICLE MODEL ________________________ COLOR ______________ ST/LIC _________/ ____________________
NAMES OF ALL PERSONS REGISTERED TO YOUR SITE. PLEASE INCLUDE EACH CHILD’S NAME
___________________________________________________________________________________________________
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Liability statement: SunBasin RV Park and Campground property is privately owned. The camper
accepts camping privileges with the understanding that he does hereby release Sunbasin RV Park & Campground, it’s officers and employees of all loss or damage to property and injury arising out of his use of the camping facilities, and agrees to indemnify SunBasin RV Park & Campground , it’s officers and employees, against claims resulting from loss or damage to property or injury to the person of any member of the family or guest of the registered camper arising from the use of camping facilities. The person signing this form accepts responsibility and liability for all persons at his camp site.
NOTE: HIGH WINDS ARE COMMON; BE ALERT TO CANOPIES, TENTS ETC. SECURE ALL WHEN YOU ARE AWAY FROM THE PARK. WINDS CAN SNEAK UP ON US WE ARE NOT RESPONSIBLE FOR WIND LOSS.
PETS ARE WELCOME. DUE TO OUR FISHING AND HUNTING LOCATION, DEPT OF FISH AND WILDLIFE
REQUIRE ALL DOGS TO BE LEASHED AND PLEASE CLEAN UP AFTER. THEM
SIGNED: ______________________________________ DATE: _________________________