Seasonal Stay Camper Questionnaire

Seasonal Stay Camper Questionnaire

Welcome and Thank you for your interest in Shirley's Park! Please complete this form to apply for a seasonal stay at Shirley’s Park and Retreat. This questionnaire must be on file for you to be considered on the waitlist.
Full Name (Adult 1)

First NameLast Name
Full Name (Adult 2 if applicable)

First NameLast Name
Please provide legal names. We take our community safety very seriously and will conduct a public records search before approving applicants.
Ages of children that will be staying with you?
Do you plan to camp with pets?
Note that aggressive dog breeds are not allowed per our insurance guidelines. No bull, pit, rot or mixes of such are allowed. All pets must be leashed at all times.
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Have you ever been a guest at Shirley's Park?
How will you be using your site?
Will you have recreational vehicles at the park?
Do you know a current Shirley's Park resident? Who?
Have you been a seasonal camper elsewhere? Where?
Please provide the year, make, model, and length of your camper. Camp trailers over 15yrs old require park approval.
How did you hear about Shirley's Park?
Please tell us why you would like to stay at Shirley's Park and Retreat.
I understand that an $800 deposit is required to hold a site reservation once my seasonal stay has been approved. I understand that the remaining seasonal fee of $2,400 is due by May 1. I also understand that all seasonal stay residents must sign and follow the seasonal stay contract and rules agreement.
Declaration:

This application does not guarantee the applicant a site at Shirley's Park. Managment reserves the right to deny a campsite to any applicant without notice. It is the applicants responsibility to provide accurate information. Park Managment will know what sites will be available for the following season shortly after Novenber 1st and will contact applicants accordingly. We encourage intrested guests to fill out a new form every year, so that we know you are still intrested in becoming a seasonal guest.
Signature
Thank you again for your intrest in Shirley's Park and Retreat! A member of the office staff will be in touch with you as soon as possible. Happy Camping!
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