Annual Trailer Lot Lease Form

Annual Trailer Lot Lease Form
THE "AGREEMENT" BETWEEN PLEASANT BAY BIBLE CONFERENCE GROUNDS INC. & THE LESSEE(S) COMPRISES A COMPLETED LEASE FORM (THIS FORM), THE TERMS & CONDITIONS AS WELL AS THE POLICIES & PROCEDURES CONTAINED IN THE CAMPGROUND HANDBOOK.

BY CLICKING "I AGREE" BELOW, THE LESSEE(S) LISTED AGREE THAT THEY HAVE READ THE TERMS & CONDITIONS AND THE CAMPGROUND HANDBOOK AND THAT THEY AGREE TO ALL THINGS STATED IN BOTH DOCUMENTS, THAT FAILURE TO COMPLY WITH ALL THINGS STATED IN BOTH DOCUMENTS CONSTITUTES SUFFICIENT GROUNDS FOR PLEASANT BAY BIBLE CONFERENCE GROUNDS INC. TO TAKE ANY ACTIONS LISTED THERIN.
Date*

MonthDayYear
Date
Camping Year:
Number*
Lot Number:
Number*
Total Number of Occupants (including children)*
Name of Occupant #1*

First NameLast Name
Name of Occupant #2*

First NameLast Name
Name of Occupant #3*

First NameLast Name
Name of Occupant #4*

First NameLast Name
Name of Occupant #5*

First NameLast Name
Name of Occupant #6*

First NameLast Name
Email*
example@example.com
Email
Provided secondary email if applicable.

Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number Occupant #1*
Please enter a valid phone number.
Phone Number Occupant #2
Please enter a valid phone number if applicable.
Phone Number Occupant #3
Please enter a valid phone number if applicable.
Phone Number Occupant #4
Please enter a valid phone number if applicable.
Do you have any pets that visit PBC?*
If you need to register a new pet after you have submitted this form, please visit the "Pet Registration" portion of the PBC Website. Please print & submit that form to the Family Camp Manager.
How many pets are you registering?*
While only 1 pet is permitted at a time, please register all pets that would be visting PBC seperately.
Species & Breed of Pet #1:   *
With respect to dogs outlined in the Ontario Dog Owners Liability Act owners are solely responsible for the actions of their dog and are financially responsible for any personal injuries caused by their dog. Also note that certain breeds are prohibited or restricted in the act and are not allowed on the campgrounds. They are the following breeds “Pit Bull Terrier, Staffordshire Bull Terrier, American Staffordshire Terrier, American Pit Bull Terrier or a dog that has an appearance and physical characteristics that are substantially similar to any of the aforementioned dogs”. (quoted from the act) PBC reserves the right to decline any dog bases on appearance or temperament.

Name of Pet:   *. Colours & Markings:   *.
I Certify that my pet is licensed with my home municipal office (INITIALS):   Signature*.
A copy of the pet's up to date vaccination information has been provided to the camp manager (INITIALS):   Signature*.
Species & Breed of Pet #2:   *
With respect to dogs outlined in the Ontario Dog Owners Liability Act owners are solely responsible for the actions of their dog and are financially responsible for any personal injuries caused by their dog. Also note that certain breeds are prohibited or restricted in the act and are not allowed on the camp grounds. They are the following breeds “Pit Bull Terrier, Staffordshire Bull Terrier, American Staffordshire Terrier, American Pit Bull Terrier or a dog that has an appearance and physical characteristics that are substantially similar to any of the aforementioned dogs”. (quoted from the act) PBC reserves the right to decline any dog bases on appearance or temperament.

Name of Pet:   *. Colours & Markings:   *.
I Certify that my pet is licensed with my home municipal office (INITIALS):   Signature*.
A copy of the pet's up to date vaccination information has been provided to the camp manager (INITIALS):   Signature*.
Species & Breed of Pet #3:   *
With respect to dogs outlined in the Ontario Dog Owners Liability Act owners are solely responsible for the actions of their dog and are financially responsible for any personal injuries caused by their dog. Also note that certain breeds are prohibited or restricted in the act and are not allowed on the camp grounds. They are the following breeds “Pit Bull Terrier, Staffordshire Bull Terrier, American Staffordshire Terrier, American Pit Bull Terrier or a dog that has an appearance and physical characteristics that are substantially similar to any of the aforementioned dogs”. (quoted from the act) PBC reserves the right to decline any dog bases on appearance or temperament.

Name of Pet:   *. Colours & Markings:   *.
I Certify that my pet is licensed with my home municipal office (INITIALS):   Signature*.
A copy of the pet's up to date vaccination information has been provided to the camp manager (INITIALS):   Signature*.
Species & Breed of Pet #4:   *
With respect to dogs outlined in the Ontario Dog Owners Liability Act owners are solely responsible for the actions of their dog and are financially responsible for any personal injuries caused by their dog. Also note that certain breeds are prohibited or restricted in the act and are not allowed on the camp grounds. They are the following breeds “Pit Bull Terrier, Staffordshire Bull Terrier, American Staffordshire Terrier, American Pit Bull Terrier or a dog that has an appearance and physical characteristics that are substantially similar to any of the aforementioned dogs”. (quoted from the act) PBC reserves the right to decline any dog bases on appearance or temperament.

Name of Pet:   *. Colours & Markings:   *.
I Certify that my pet is licensed with my home municipal office (INITIALS):   Signature*.
A copy of the pet's up to date vaccination information has been provided to the camp manager (INITIALS):   Signature*.
Species & Breed of Pet #5:   *
With respect to dogs outlined in the Ontario Dog Owners Liability Act owners are solely responsible for the actions of their dog and are financially responsible for any personal injuries caused by their dog. Also note that certain breeds are prohibited or restricted in the act and are not allowed on the camp grounds. They are the following breeds “Pit Bull Terrier, Staffordshire Bull Terrier, American Staffordshire Terrier, American Pit Bull Terrier or a dog that has an appearance and physical characteristics that are substantially similar to any of the aforementioned dogs”. (quoted from the act) PBC reserves the right to decline any dog bases on appearance or temperament.

Name of Pet:   *. Colours & Markings:   *.
I Certify that my pet is licensed with my home municipal office (INITIALS):   Signature*.
A copy of the pet's up to date vaccination information has been provided to the camp manager (INITIALS):   Signature*.
By clicking "I agree" below, I certify that I have read and understand and will comply with the Pet Policy as stated in the "Campground Handbook” (Section 15) or the “Overnight Camper Information Rules” sheet provided by the camp office. I understand that if I do not comply with these rules, I may be asked to remove my pet from the campgrounds.*

I agree

RV Type*
Year: *
Make:   *
Model:   *
Length:  *   feet.
Since last year have you made changes to any of the following: (select all that apply).*

Add-a-RoomDeckShedAll are the same as last year.
Add-a-Room:
Length *   feet
Width   *   feet
Height  *   feet
Deck:
Length:Number* feet
Width: Number* feet
Shed:
Length:   Number*   feet
Width:   Number*   feet
Height:   Number*   feet

Number of Automobiles*
Vehicle #1:
Make   *
Model   *
Plate #   *
Vehicle #2:
Make   *
Model   *
Plate #   *
Vehicle #3:
Make   *
Model   *
Plate #   *
Number of Watercraft on Site*
Include all powered & non-powered watercraft stored anywhere at PBC, including the storage field (boats, personal watercraft, canoes, kayaks, paddleboards etc.)
Watercraft #1: Type of Watercraft*
Watercraft #1: Storage Location*
Watercraft #2: Type of Watercraft*
Watercraft #2: Storage Location*
Watercraft #3: Type of Watercraft*
Watercraft #3: Storage Location*
Watercraft #4: Type of Watercraft*
Watercraft #4: Storage Location*
Watercraft #5: Type of Watercraft*
Watercraft #5: Storage Location*
Watercraft #6: Type of Watercraft*
Watercraft #6: Storage Location*
Number of Other Motorized Land Vehicles*
Please include all motorized vehicles other than cars. (ATVs, Motorcycles, Golf Carts, etc.)
MV #1:
Type:   * . Year:   Number*
Make:   *   Colour:   *
VIN:   .
Insurance Provider:   *
Policy #:   *
MV #2:
Type:   * . Year:   Number*
Make:   *   Colour:   *
VIN:   .
Insurance Provider:   *
Policy #:   *
MV #3:
Type:   * . Year:   Number*
Make:   *   Colour:   *
VIN:   .
Insurance Provider:   *
Policy #:   *
MV #4:
Type:   * . Year:   Number*
Make:   *   Colour:   *
VIN:   .
Insurance Provider:   *
Policy #:   *

Emergency Contact Information*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Should be Empty: