Registration

REMEMBER
If you're bringin' family or friends without their mom or dad, don't forget they have to have these forms with them - signed by legal guardian prior to arrival. 
Release_parental_consent.pdf and Release_for_minors.pdf

 

We are now taking camping reservations for camping.

If you would like to reserve a site, you can:
 fill out and submit the form below,
email us at leerjak@yahoo.com
or
call us at 573-856-4134
If no answer, please leave a message - someone will call you back very soon.

We accept cash, debit cards, Mastercard and Visa.  NO CHECKS accepted.

 

If you would like to just let us know you're coming - fill out the form below. 

Also, if we have an event and you would like to enter, please submit the form below with what you want to enter noted in the notes area.  Thanks.


Fill Out The Registration Form Below


 First Name:

 Last Name:

 Address:
 City:
 State:
 Zip:
 Phone Number:

  Email Address:

Spouse's Name:
Children
1. First Name: Last Name: Age:
2. First Name: Last Name: Age:
3. First Name: Last Name: Age:
4. First Name: Last Name: Age:
5. First Name: Last Name: Age:
6. First Name: Last Name: Age:

Additional people: (Please give names and age below)

Comments or Special Requests:
Are you interested in:
(Check all that apply)


Arrival Date:
Departure Date:

 
 
www.leerjak.com      573-856-4134

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