Camper Information Collection Form – Duttona Family Campground

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Site Number *

How may Campers are in your household? *

A "household" is defined as all people living at the same address. Adults, Minors and Infants are all considered "Campers". Extra charges will apply for more than 2 Adults ($100/Adult), and for more than 2 Minors($50/Minor). Infants, ages 5 and under are free.

Primary Canadian Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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Camper #1 is the Primary Camper who will receive all communications.

Camper #1 Information

Camper #1: Age Group *

Age Group (Camper #1)

Camper #1: Birthdate *

Birthdate (Camper #1)

Camper #1: Name *

Full Legal Name (Camper #1)

First

Last

Camper #1: Email *

Email (Camper #1)

Camper #1: Phone *

Phone (Camper #1)

Camper #2 Information

Camper #2: Age Group *

Age Group (Camper #2)

Camper #2: Needs Guardian

This camper has a Legal Guardian that will sign on their behalf.

Camper #2: Birthdate *

Birthdate (Camper #2)

Camper #2: Name *

Full Legal Name (Camper #2)

First

Last

Camper #2: Email *

Email (Camper #2)

Camper #2: Phone *

Phone (Camper #2)

Camper #2: Legal Guardian *

Name of a Legal Guardian who will sign on behalf of Camper #2

Camper #3 Information

Camper #3: Age Group *

Age Group (Camper #3)

Camper #3: Needs Guardian

This camper has a Legal Guardian that will sign on their behalf.

Camper #3: Birthdate *

Birthdate (Camper #3)

Camper #3: Name *

Full Legal Name (Camper #3)

First

Last

Camper #3: Email *

Email (Camper #3)

Camper #3: Phone *

Phone (Camper #3)

Camper #3: Legal Guardian *

Name of a Legal Guardian who will sign on behalf of Camper #3

Camper #4 Information

Camper #4: Age Group *

Age Group (Camper #4)

Camper #4: Needs Guardian

This camper has a Legal Guardian that will sign on their behalf.

Camper #4: Birthdate *

Birthdate (Camper #4)

Camper #4: Name *

Full Legal Name (Camper #4)

First

Last

Camper #4: Email *

Email (Camper #4)

Camper #4: Phone *

Phone (Camper #4)

Camper #4: Legal Guardian *

Name of a Legal Guardian who will sign on behalf of Camper #4

Camper #5 Information

Camper #5: Age Group *

Age Group (Camper #5)

Camper #5: Needs Guardian

This camper has a Legal Guardian that will sign on their behalf.

Camper #5: Birthdate *

Birthdate (Camper #5)

Camper #5: Name *

Full Legal Name (Camper #5)

First

Last

Camper #5: Email *

Email (Camper #5)

Camper #5: Phone *

Phone (Camper #5)

Camper #5: Legal Guardian *

Name of a Legal Guardian who will sign on behalf of Camper #5

Camper #6 Information

Camper #6: Age Group *

Age Group (Camper #6)

Camper #6: Needs Guardian

This camper has a Legal Guardian that will sign on their behalf.

Camper #6: Birthdate *

Birthdate (Camper #6)

Camper #6: Name *

Full Legal Name (Camper #6)

First

Last

Camper #6: Email *

Email (Camper #6)

Camper #6: Phone *

Phone (Camper #6)

Camper #6: Legal Guardian *

Name of a Legal Guardian who will sign on behalf of Camper #6

Camper #7 Information

Camper #7: Age Group *

Age Group (Camper #7)

Camper #7: Needs Guardian

This camper has a Legal Guardian that will sign on their behalf.

Camper #7: Birthdate *

Birthdate (Camper #7)

Camper #7: Name *

Full Legal Name (Camper #7)

First

Last

Camper #7: Email *

Email (Camper #7)

Camper #7: Phone *

Phone (Camper #7)

Camper #7: Legal Guardian *

Name of a Legal Guardian who will sign on behalf of Camper #7

Camper #8 Information

Camper #8: Age Group *

Age Group (Camper #8)

Camper #8: Needs Guardian

This camper has a Legal Guardian that will sign on their behalf.

Camper #8: Birthdate *

Birthdate (Camper #8)

Camper #8: Name *

Full Legal Name (Camper #8)

First

Last

Camper #8: Email *

Email (Camper #8)

Camper #8: Phone *

Phone (Camper #8)

Camper #8: Legal Guardian *

Name of a Legal Guardian who will sign on behalf of Camper #8

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Do you have any pets that will be camping with you? *

There is a 2 pet policy per campsite

Pet #1

Pet #1: Name

Name (Pet #1)

Pet #1: Age *

Age (Pet #1)

Pet #1: Size *

Size (Pet #1)

Small
Medium
Large

Pet #1: Breed

Breed (Pet #1)

Pet #2

Pet #2: Name

Name (Pet #2)

Pet #2: Age *

Age (Pet #2)

Pet #2: Size *

Size (Pet #2)

Small
Medium
Large

Pet #2: Breed

Breed (Pet #2)

Do you have any other pets not listed here? *

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RV Owner *

RV Owner

First

Last

Ownership available *

Is the Government Issued Ownership available?

Make and Model Available *

Do you know the RV Make, Model and Year of manufacture?

RV Make and Model *

RV Make and Model

RV Year *

RV Year of Manufacture

RV Length

RV Length (slide the dot to the correct length)

25 feet long

RV Finance *

Is your RV is financed?

Name of the Finance Company *

Name of the Finance Company

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Do you have RV Insurance? *

Mandatory Insurance *

Please read the following clause and click the box to acknowledge

RV Insurance is mandatory. Please contact the office once your insurance information is available.

Insurance disclaimer *

Please read the following clause and click the box to acknowledge

RV must be insured at all times while it resides in the Campground

Is the Campground assigned on your policy as co-insured? *

Yes
No
Unknown

Insurance Company name *

Insurance Company name

Insurance Policy Number *

Insurance Policy Number

Insurance Coverage Start Date *

Insurance Coverage Start Date

Insurance Coverage End Date *

Insurance Coverage End Date

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Vehicle Use and Parking

If you would like to register any additional vehicles, please contact the office for further information.

Vehicle Use *

We will have no more than one of the following vehicles at a time at the campground, which will park on our site. (fee included)
We require the ability to have two of the following vehicles at the campground at the same time. ($100 fee - limited spaces available - first come, first served)

Vehicle #1 *

Vehicle #1 - License Plate

Vehicle #1 YMM *

Vehicle #1 - Year Make & Model

Vehicle #2

Vehicle #2 - License Plate

Vehicle #2 YMM *

Vehicle #2 - Year Make & Model

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Internet Connection

Please specify your current Fiber Internet state.

Contract In Place from last season
Contract will be signed this season
Not Connected

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Seasonal VISITOR Passes

Passes can also be purchased at any time from the Office/Shoppe. Seasonal Visitors MUST follow all Visitor Policies including being added to the Daily Visitor Log, & checking in at the Office. License Holder MUST be present when using a DAY or OVERNIGHT pass.

List any Seasonal Visitor DAY Pass holders you would like to add ($50/person age 6 and up)

A Seasonal Visitor DAY Pass for unlimited DAY use throughout the season. Includes the option to purchase discounted $10/night OVERNIGHT passes.

List any Seasonal Visitor OVERNIGHT Pass holders you would like to add ($150/person age 6 and up)

A Seasonal Visitor OVERNIGHT Pass for unlimited OVERNIGHT use throughout the season.

Any immediate family members not living with you: siblings, (great)(grand)parents, & (great)(grand)children (and their partners) can purchase a Seasonal FAMILY Pass which provides unlimited DAY & OVERNIGHT use of your RV throughout the season. You do not need to be present during use.

List any Seasonal FAMILY Pass holders (and their email address) that you would like to add ($450/family; up to 2 Adults & up to 2 Children))

List any Seasonal INDIVIDUAL FAMILY Pass holders (and their email address) that you would like to add ($300/person)

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