Caravan Park Accessibility Accommodation Request Form
Please complete this form to request accessibility accommodations for your stay at our caravan park. Your information will help us ensure your needs are met.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Check-in Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Check-out Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Accessibility Accommodation Requested
*
Wheelchair-accessible unit
Roll-in shower
Visual aids (e.g., braille signage)
Auditory aids (e.g., visual alarms)
Accessible parking
Other
Number of Guests in Your Group
*
Do you use any assistive devices?
Wheelchair
Walker
Hearing aid
Service animal
Other
Preferred Communication Method
Email
Phone call
Text message
Please describe any additional accessibility needs or requests
Submit Request
Should be Empty: