Extended Stay Request Form Request an Extended Stay ReservationAll Information is required, write N/A if it does not apply. Name Guest 1 * (18 years and over) First Name Last Name Email Guest 1 * Phone Guest 1 * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Name Guest 2 (Age 18 and over) First Name Last Name Email Guest 2 Phone Guest 2 (###) ### #### Child 1 Name & Birth Year Child 2 Name & Birth Year Child 3 Name & Birth Year Additional Children and Birth Years Number of Adults 18 and over Number of Children under 18 Employer Name Employer Phone (###) ### #### Retired Full Time RV'er Yes No Traveling Trade Yes No Desired Arrival Date MM DD YYYY Departure Date MM DD YYYY Site Type Requested Small RV (35'-50') Standard Back-In (55'-60'), Deluxe Back-In (60'-65'), Premium Back-In (60'-70'), Premium Pull-Through (65'-75'), or Luxury Pull-Through (110'-120'). RV Year RV Make & Model RV Type 5th Wheel Travel Trailer Class A Motorhome Class B Motorhome Class C Motorhome RV License Plate Number & Issuing State Vehicle 1 Year Vehicle 1 Make and Model Vehicle 1 License Plate Number and Issuing State Vehicle 2 Year Vehicle 2 Make and Model Vehicle 2 License Plate Number and Issuing State Pet 1 (write 'No Pet' if you do not have one) * Name, Breed, Age & Weight or Pet 2 (Write 'No Pet' if you do not have a 2nd pet) * Name, Breed, Age & Weight What brings you to the area? How did you here about us? * Comments or Questions Thank you!