Application for New York State of Mind
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. PLEASE DO NOT USE AUTOFILL.
Name Of Caravan
New York State of Mind
Year for which you are applying
Number of Adults
Name of First Participant
Name of Second Participant
Name of Third Participant
Number of Children Caravan Participants
Names and ages of children on caravan
Your WBCCI Number
Email - Where Confirmation Should Be Sent
Primary Cell Phone (if applicable, to contact you on caravan)
Second Phone Number (if different from cell phone)
State/ Province and ZipCode/Postal Code
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?
Airstream License Plate # and State/Province
Make and model of Tow/Towed Vehicle (i.e. Ford F250, Dodge Ram, Toyota Tundra)
Tow Vehicle License Plate # and State/Province
Number of Pets
Please describe the kind (dog/cat), number of each, and dog breeds.
Physical or Dietary Limitations This is for caravan leaders' reference only and does not imply that meal or program accommodations will be made.
How many caravans have you been on previously?
None, this would be the first
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
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
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?
No, thank you
KOA Memberhip # (if applicable)
Name of Caravan for Which You Are Applying
Should be Empty: