Group Outings Camping Request

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Company or Group Name

Date of Outing


City, State, Zip


Number of Adults ( Age 2 and Older)

Number of Children ( Under the age of 2)

Date In

Date Out

Unit Make

Unit Length

Requested Utilities

This property is privately owned. The registrant (You) accepts camping privileges with the understanding that he does hereby release the Campground, it's officers and employees of all liability for loss or damage to property and injury to his/her person arising out of his/her use of it's camping facilities and agrees to indemnify the Campground, it's officers and employees against claims resulting from loss or damage to property or injury to the person, any member of the family or guest of the registrant arising out of use of the camping facilities.

By clicking submit, the registrant verifies that all above information is correct and that he/she has read, and agrees to comply with all Campground rules and regulations, as posted on this site and at conspicuous locations within the park grounds.