Camping Registration
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Camper Type
*
Please Select
RV or 5th Wheel
Tent or Cab Over Camper
LQ Horse Trailer
Other
Camper Size: Length & Width (include tongue)
*
Vehicle License #
*
Camper/Trailer License #
*
AMP Needed
*
Please Select
30 AMP
50 AMP
30 or 50 AMP
No AMP
Arrival Date
*
-
Month
-
Day
Year
Date
Departure Date
*
-
Month
-
Day
Year
Date
Comments/Notes
Attention: Mounted Shooters
If you're a registered Mounted Shooter, the Wild Rice Peacemakers will pay your camping fee.
My Products
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( X )
Camping per Night
$
32.00
Quantity
1
2
3
4
5
6
7
8
Item subtotal:
$
0.00
Credit Card
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