Guest #1 * ATTENTION! ALL DATA FIELDS MUST BE POPULATED OR FORM WILL NOT SUBMIT First Name Last Name Guest #1 Email * Guest #1 Cell Phone (###) ### #### Guest #1 Date of Birth MM DD YYYY Message Term * (credit report and background check may be required) Less than 1 week 1-4 weeks 2-3 months 3-5 months 6 months or longer Arrival Date * MM DD YYYY Departure Date * MM DD YYYY Taxes TAXES Number of Adults * No More Than 2 People Per Lot/Space 0 1 2 3 or more Number of Children * No More Than 2 People Per Lot/Space 0 1 2 3 or more Recreational Vehicle-Type Unit? * Select Type of RV/Trailer Fifth-Wheel Motorhome Class A, Toterhome, Diesel Pusher Motorhome Class B or C Airstream Tiny House on Wheels Travel Trailer Trailer without a shower or bathroom Other How will you transport your recreational vehicle-type unit? * Select One I own a truck that transports my trailer / recreational vehicle-type unit I have a friend who helps me transports trailer / recreational vehicle-type unit I will hire a company to relocate my my trailer / recreational vehicle-type unit My RV is a drivable recreational vehicle and does not require towing Lic Plate#/ Make / Model / Year / Length / Amps of Motorhome or RV * Guest #2 * Required: Type "none" for First Name. Type "none" for Last Name If Only 1 Guest First Name Last Name Guest #2 Email Type "none" If Only 1 Guest Guest #2 Date of Birth MM DD YYYY Guest #3 * Required: type "none" for first name. type "none for last name if only 1 or 2 guests. First Name Last Name Guest #3 Date of Birth MM DD YYYY Other Guest Names and Ages * Type "NA" If No Others Vehicle #1 (Year / Make / Model / Type of Vehicle) * Maximum of Two (2) Motorized Vehicles Allowed. Must Be Licensed and Tagged. Note: Only Vehicles Listed Will Be Permitted In The Park. Vehicle #2 (Year / Make / Model / Type of Vehicle) * Type "NA" If Only 1 Vehicle Will You Be Bringing Any Of The Following? * Check All That Apply or Select None Golf Cart Motorcyle 3 or 4 Wheeler Boat Open Trailer Closed Trailer Other Equipment Type Not Listed NONE What Pet's Will You Be Bringing? * *Pets must be fully vaccinated and a copy of the vaccine/shot record must be provided with Signed Pet Agreement. "Frequently Asked Questions about Service Animals and the ADA (Link: service_animal_qa.pdf (ada.gov) )." No Animals 1 Dog 2 Dogs 1 Cat 2 Cats 1 Dog and 1 Cat Other Type of Animal Not Listed Emotional Support Animal Service Animal Describe Your Pets Type of Pet/Name/Age/Weight/Breed PET RULES * Occupant shall at all times be responsible for the actions of their pet(s) and agrees to abide by the following rules. Owners must have $100,000 liability policy on their dog. 1) Pet(s) will not disturb the rights, comfort and convenience of neighbors. 2) Any aggressive dogs will be subject to immediate dismissal from the campground. 3) Pet(s) shall be kept on a leash of no longer than six (6) feet in length and under the guest occupant's control at all times when outside. Management reserves the right to pick up loose pets and/ report them to the proper authorities. 4) Pet(s) may not be left outside unattended at any time. 5) Guest(s) may not have animals off leash or unattended on a leash. 6) Portable pet fences are not allowed 7) Guest(s) shall be responsible for removal of pet(s) waste on a daily basis within the site they are occupying and anywhere within Palm Bay Park property lines. Tenant(s) must pick up feces immediately after animal eliminates. 8) Guest(s) is prohibited from keeping venomous animals or any breed of dog that is deemed “dangerous” under Florida law on the Premises. A “dangerous dog” shall be defined under this Agreement as defined under Chapter 767, Florida Statutes. https://flsenate.gov/Laws/Statutes/2021/Chapter767 9) All pet(s) must have an up-to-date vaccine/shot records on file with Palm Bay Park. 10) It is guests responsibility to read and understand FLORIDA STATUES, CHAPTER 767, DAMAGE BY DOGS; DANGEROUS DOGS 11) DAMAGES: Occupant shall be liable for the entire amount of all damages caused by their pet(s) and all cleaning needed because of their pet(s) and all cleaning needed because of their pet(s) including, landscaping. Payment for damages or cleaning shall be due immediately upon demand. Occupant shall be strictly liable for the entire amount of any injury to the person or property of others caused by their pet(s) and shall indemnify Palm Bay Park Management and Owners of all costs of litigation and attorney's fees resulting from same. I Acknowledge and Agree To Pet Rules. I have read and Acknowledge FLORIDA STATUES, CHAPTER 767, DAMAGE BY DOGS; DANGEROUS DOGS. I Do Not Have A Pet and Will Not Have A Pet During the Duration of My Stay. I Understand A Written Pet Agreement Is Required. It Is Guests Responsibility to Read Florida Statues (FS) Chapter 513 * It is Guests responsibility to read Florida Statues Chapter (FS) 513 governing mobile homes and RV parks. I acknowledge and will abide by the Florida Statues Chapter 513 Thank you for your reservation request! * RV Reservation Request * * RV Reservation Request * * RV Reservation Request *