Application for the "Southwest Adventure" Caravan

Application for the Southwest Adventure Caravan

This application will be sent directly to the caravan leader. You will receive a response directly from them regarding space available on the caravan and payment information.
Select the Caravan Name *
Year for which you are applying *
How did you FIRST learn about this caravan?

Club or caravan website Blue Beret Magazine - Print Version Blue Beret Magazine - Online Version From Friend or other Airstreamer
Your WBCCI Number *
How many caravans have you been on previously?
Number of Adults *
Name of First Participant *

First Name Last Name
Name of Second Participant

First Name Last Name
Name of Third Participant

First Name Last Name
Number of Children (Caravan Participants)
Names and ages of children on caravan
Number of Pets
Please describe the kind (dog/cat), number of each, and dog breeds.
Mailing Address - Street Address *
Street Address
City, State and Zipcode *
Primary Cell Phone (if applicable, to contact you on caravan) *
Second Phone Number (if different from cell phone)
Email - Where Confirmation Should Be Sent *
example@example.com
Email #2
example@example.com
Type of Airstream
Year Airstream manufactured and Model (i.e. 2017 Classic, 1974 Safari, 2001 Bambi),
Length of rig: *
Does your Airstream have slide-outs?

Yes No
Airstream License Plate # Including State/Province
Make and model of Tow/Towed Vehicle (i.e. Ford F250, Dodge Ram, Toyota Tundra)
Tow Vehicle License Plate # Including State/Province
Physical or Dietary Limitations This is for caravan leaders' reference only and does not imply that meal or program accommodations will be made.
If one of your party has a Golden Age (America the Beautiful) national parks pass, please enter the number here. This can be supplied at a later date but as soon as possible.
Would you be able to join this caravan with short notice?

Yes, with sufficient notice No
Approximately how many weeks notice would you need?
If you are wait-listed for this year's caravan, would you want to be added to the list for the next time the caravan is run?

Yes, please No, thank you
Should be Empty:

Application for the Southwest Adventure Caravan