Welcome To Morgan Hill/Parkway Lakes KOA Application Page

100 Ogier Avenue
Morgan Hill, CA 95037
(408) 779-0244
(800) 562-8134

Long Term On-line Application

Date_________________________________ Site #____________

----------- DO NOT WRITE ABOVE THIS LINE. OFFICE USE ONLY ----------
See rates page for cancellation and refund policy

Your Information Name
Address
City - State - Zip	- -
Telephone	ex 4085551212
Cell Phone	ex 4085551213
Birthday	ex MM/DD/YYYY
Social Security Number	ex 123456789
Drivers License Number - State - Expire	- -
E-Mail Address

Employer
Address
City - State - Zip	- -
Telephone
Supervisor
Time on Job	Years Months
Annual Salary	$

Spouse / Partner Information Name
Address	Same as above
City - State - Zip	- - Same as above
Telephone	Same as above
Cell Phone	Same as above
Birthday
Social Security Number
Drivers License Number - State - Expire	- -

Employer
Address
City - State - Zip	- -
Telephone
Supervisor
Time on Job	Years Months
Annual Salary	$

Number of children
(1) Name - Age - DOB	- -
(2) Name - Age - DOB	- -
(3) Name - Age - DOB	- -
(4) Name - Age - DOB	- -

Number of pets
(1) Type - Breed - Weight - Rabies Vaccine	- - - YesNo
(2) Type - Breed - Weight - Rabies Vaccine	- - - YesNo
(3) Type - Breed - Weight - Rabies Vaccine	- - - YesNo
(4) Type - Breed - Weight - Rabies Vaccine	- - - YesNo
	Other* must call office after application is submitted
Vehicle Information
RV Year - Make & Model	-
Class - Length - Slides - Sides	- - -
Tag Number - State	-
Vehicle 1 Year - Make & Model	-
Tag Number - State	- Sirits # _______________
Vehicle 2 Year - Make & Model	-
Tag Number - State	- Sirits # _______________
Vehicle 3 Year - Make & Model	-
Tag Number - State	- Sirits # _______________

Previous Landlords
Name/Company	/
Telephone
Name/Company	/
Telephone

Emergency Contact Information
(1) Name - Relationship	-
Telephone - Cell Phone Numbers	Phone - Cell
(2) Name - Relationship	-
Telephone - Cell Phone Numbers	Phone - Cell
(3) Name - Relationship	-
Telephone - Cell Phone Numbers	Phone - Cell

Has anyone listed on this application ever
been convicted of a felony	Yes No Who
filed bankruptcy	Yes No Who
been evicted	Yes No Who
If yes please explain circumstances
Estimated date of arrival
Desired/estimated length of stay
Do you know anyone at Parkway Lakes RV Park	Yes No
If yes, who

By pressing the submit button below you are acknowledging that the questions answered on this form are true and correct and if they are found to be false this document and agreement that ensues will then become null and void as will your right to tenancy at Parkway Lakes RV Park and you and your property will be removed from the park. I also acknowledge that I have read and agree to abide by the rules and regulations of Parkway Lakes RV Park. I also acknowledge that for my vehicles to have access to Parkway Lakes RV Park, a gated community, I must purchase a gate pass for each of my vehicles at the parks cost of $50.00 each and that I may have only two (2) vehicles on the park at any given time and they must both fit on my site to be on the park.

or or PRINT this page and FAX or bring with you