CERALAND

Date of Event *
Number of Nights Stayed *
Camping Group Name *
Approximate Total Number of Camping Units
Rally Coordinator Name
Address *
City *
State *
Zip *
Home Phone: *	- -
Work Phone:	- -
Email: *

Guest Fees

Sewer sites may be available in the Non-Group Camping Areas
$4.00 additional per night per site / includes water, electric & sewer

Park Rules

• Pets are permitted with campers only in the designated pet Areas (sites 102 - 325).
• Sites are assigned on a first-come, first-served basis.
• No group camping during the 4th of July holiday season.
• Campground is open March 1st through October 31st. Water & sewer hook-ups available depending on weather conditions.
• For security purposes the front gate is locked from 10:00pm-5:00am. Key rental is available at the Sports & Fitness Center.
• All other Park & Campground rules apply as listed below.

I hereby understand that I am responsible for the preceding group on the above date and agree to uphold the Park Rules and Campground Rules of the Cummins Employee Recreation Association.

By submitting this form, I acknowledge that I have read & understand the above.

Date Submitted