Lighthouse Landing Camp Registration Form
Thank you for taking the time to fill out our online registration form. As we tell all of our guests, we are working hard to provide a quiet, peaceful, restful, nature-based environment. We ask that noise (including loud music) be kept to a minimum during the day and we have a strict no noise policy after 10 pm. This is not a place for parties. If you are wishing for a party, we ask that you seek an alternate vacation destination. If you are seeking a quiet, relaxing getaway, then you found the right place. We look forward to meeting you and helping you make wonderful memories.
Name
*
First Name
Last Name
Mobile Phone Number
*
Please enter a valid phone number.
Emergency Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Cabin or Campsite or Day Use
*
Cabin 1
Cabin 3
Cabin 4
Tiny Cabin 5.5
Cabin 6
Cabin 9
Tiny Cabin 9.5
Tiny Cabin 10
BYOT (Bring your own tent covered tent platform)
Day Use Waiver
Volunteer
Hipcamp
VRBO
Bringing my own camper
Check In Date (check in is 4pm)
*
-
Month
-
Day
Year
Date
Check Out Date (check out is 11am)
*
-
Month
-
Day
Year
Date
Names and ages of all guests (Granny Franny 66, Jim 40, Alyssa 34, Asher 6)
*
Pet Fee Required ($30 extra)
*
Yes
No
I am aware of the cancellation policy. Receive a full refund if canceled 14 days prior to your stay. Receive a 50% refund if canceled less than 14 days prior to your stay. All cancellations that require a refund are subject to a $40 administration fee.
*
Yes
I am aware that there is drinking water from every tap so bottled water is not necessary (this includes Tiny Cabins and the Covered Tent Platform). I am also aware that I must try to recycle and use clear garbage bags. I am aware there is a compost bin near the main shower room.
*
Yes
The guest who filled out this online reservation form is responsible for sharing all safety and liability waiver information with all the guests listed above. A booklet containing safety information is available at each cabin and campsite. WATER SAFETY - life jackets must be worn at all times in watercraft (including stand-up-paddles boards). Safety kits must also be in canoes, kayaks, the paddle boat, and row boat. All watercraft must be returned before dusk. We have an unsupervised beach and at all times an adult must be in direct supervision of minors swimming and in watercraft. THE REGISTERED GUEST (AND INFORMED ADULT GUESTS): (a) has full legal responsibility for the decisions regarding myself and my minor guests; (b) accepts that there is a risk of serious injury or death in participation in swimming, boating, and other recreational activities during my stay; (c) is satisfied that myself and my guests are able to participate in such activities and voluntarily assume the risks of such participation; (d) understand and will instruct my guests that all rules for participation must be followed, and am responsible for the safety of myself and my guests; and (e) will immediately remove myself and my guests from water or other situations I observe unsafe; (f) understands that the directors of Lighthouse Landing Camp may not always be on the premises or available for immediate contact. I UNDESTAND AND AGREE, ON BEHALF OF MYSELF AND MY GUESTS AND OUR HEIRS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, that my execution of this document constitutes: (a) and unqualified assumption of all risks associated with participation in the activities by myself and my guests; (b) a full and final release and waiver of liability and all claims that I have or may in the future against Lighthouse Landing Camp and it's directors; (c) an agreement not to sue Lighthouse Landing Camp and it's directors for any loss, injury, costs or damages, of any form or type, however caused or arising from my stay at Lighthouse Landing Camp, even if due to the negligence of any of the releasees. By booking with us at Lighthouse Landing Camp you and the rest of your group agree to the above release and waiver. You and your group understand it to be a binding legal agreement.
*
I Agree
Type Name
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Signature
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Clear
Submit
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