2025 Locust Lake Village Rental Registration

IF USING A PHONE, PLEASE HOLD IT SIDEWAYS TO SEE THE ENTIRE SCREEN IN LANDSCAPE MODE.

A computer or tablet in landscape mode works best.

ONLY FILL OUT ONE FORM PER RENTAL, NOT PER PERSON

Beware of auto-populate filling in fields!

THIS FORM IS ONLY FOR NEW REGISTRATIONS, NOT CHANGES.

IF YOU NEED TO MAKE A CORRECTION, PLEASE EMAIL Rentals@LocustLakeVillage.org

Name of Renter*

First NameLast Name

Renter Phone*

Area CodePhone Number

Renter Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Renter Email*

example@example.com

Renter Emergency Contact*

First NameLast Name

Emergency Contact Phone*

Area CodePhone Number

Name of Property Owner*

PROPERTY OWNER Email*

Use the email provided by owner at booking

LLV PROPERTY Street Address*

Street Address

Street Address Line 2

Arrival Date*

Departure Date*

Rental Days

Current Date

Date

Registration Days Before

TOTAL Number in Rental Party*

List all Individuals 12 YEARS AND OLDER ONLY residing at the Rental Property, please use ONE LINE PER PERSON, do not list them together.*

Number of Individuals

Free Individuals

NumIndiv - FreeIndivid

Extra Individuals

PerPersonPerDayRate

Per Person Fee

$9 per person / day over 6 people (12 years and Older)

Enter ALL Vehicles Parking at Rental Property*

Number of Vehicles

VehicleRate

Vehicle Fee

Number of People Fishing

PA Fishing License Required

FishingRate

Fish Restocking Fee

$12 fish restocking fee per angler

Late Fee

Additional Fee: $35

(Less than 2 days notice of rental.)

Total Fees

Payment: Fill out First Name, Last Name, and Credit Card

USDTotal Rental Registration Fees

Credit Card

If you have any questions, please call the office at 570-646-3616 or email Rentals@LocustLakeVillage.org for assistance.