A Place of Rest Campground
Campground Phone: 1-877- TN AMISH or Cell Phone: 1-256-338-9214
135 Amish Circle, Ethridge, TN 38456
2009 Camping Registration Form
Name:						Date:
Adress:
City:				State:				Zip:
Home Phone:					Cell Phone:
Email Address:
Driver's License Number:
Vehicle Description:
		Make/Model			Color		Tag Number
				Cabin		□
Camping Unit Description:				Motor Home		□	Feet:_______________________
				Travel Trailer		□
Requested Site:
Check In Date:					Check Out Date:
By signing this registration form, I certify I have read and understand the Rules for A Place of Rest Campground & RV Park, and agree to abide by those Rules and Regulations while at the Campground. I further understand and agree that A Place of Rest Campground & RV Park, nor any of its employees or volunteers shall be liable or responsible in any way for injury, damage, liability, loss or expense resulting to the Park User and/or any guest brought on to the premises by said Park User due to accidents, mishaps, misconduct, negligence or injuries, either in person or property.
	Signature of Park Guest						Date
Please note that reservation is not recorded nor secured until full payment has been received and a receipt for said payment has been issued to Park User. No refunds will be given on cancellations. After payment is received, if requested lot is not available, you will be assigned the next closest site. If campground is full, you will be notified and your payment returned in full. Non-Sufficient Fund Check Policy - If your payment is made by check and the payment is returned to the campground as 'non-sufficient funds', you will be assessed a $50.00 penalty fee and your reservation will be cancelled until payment is made in full.
For Office Use Only:
Payment Received:					Payment Type:
Assigned Site Number:					Number of Nights: