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379 Route 106 South
Loudon, NH 03307
P. 603.224.3212
F. 603.228.0451
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General Information
Site #
*
Full Name
*
Email address
*
Address
*
City
*
State
*
Zip
*
Phone
*
Drivers License #
Current Occupation
Employer Name
Employer Address
Employer City
Employer State
Employer Zip
Employer Phone
Camping Vehicle Make
Camping Vehicle Model
Camping Vehicle Year
Camping Vehicle License #
Camping Vehicle State
Camping Vehicle Length
Amps
30 Amps
50 Amps
Applicants Household
List names of all household members of applicant who will regularly occupy this camping vehicle
Name
Age
Work School
Name
Age
Work School
Name
Age
Work School
Name
Age
Work School
Name
Age
Work School
Name
Age
Work School
Pets
List each pet you expect to bring to the campground and their breed
Motor Vehicles
Applicants Motor Vehicles to be parked on site
Make/Model
Year
Color
Plate
Make/Model
Year
Color
Plate
Additional Info
How many years have you been camping?
Most recent campground where you were seasonal and reason for leaving
Have you ever been evicted from a campground? If so, reason:
Do you have any special interests or activities that you would be willing to share with other campers? If so, what?
Do you or any members of your family have special needs?
No
Yes
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