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Online Camping Reservation Form
Please Note: You must be at least 21 years of age to reserve camping. Thank you.
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You will be notified after your request has been reviewed. All requests are processed in the order that they have been received. Thank you for your interest in Clay's Park Resort.<br><br><br><br>Clay's Park Resort<br><br><a href="mailto: info@clayspark.com">info@clayspark.com'> <input type='hidden' name='FORMpayment' value='0'> <input type='hidden' name='FORMfixed' value='0'> <input type='hidden' name='FORMpaymentName' value=''> <input type='hidden' name='FORMpaymentAmount' value=''> <input type='hidden' name='FORMuseSecureForm' value=''> <input type='hidden' name='FORMkeyFieldName' value=''> <input name='FORMfilterRequired' type='hidden' value='1'> <div class='ezpagebuilder-filter-type'> Filter Type: <input name='FORMfilter' value=''> </div> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.1required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Name:</td></tr><tr><td valign=top align='left'> <input type=text name='SubmitterName' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=' 0'></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.2required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Address:</td></tr><tr><td valign=top align='left'> <input type=text name='Address' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.3required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>City, State, Zip:</td></tr><tr><td valign=top align='left'> <input type=text name='City,State,Zip' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.4required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Phone:</td></tr><tr><td valign=top align='left'> <input type=text name='Phone' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.5required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Number of Adults </b>(12 yrs and over):</td></tr><tr><td valign=top align='left'> <input type=text name='# of Adults' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.6required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Number of Children:</b> (3-12 Yrs. 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Olds' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.7required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Number of Children:</b> (2 Yrs. & Under)</td></tr><tr><td valign=top align='left'> <input type=text name='# of 2 Yrs. & under' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.8required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Date In:</td></tr><tr><td valign=top align='left'> <input type=text name='Date In' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.9required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Date Out:</td></tr><tr><td valign=top align='left'> <input type=text name='Date Out' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.10required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Number Of Nights:</td></tr><tr><td valign=top align='left'> <input type=text name='# of nights' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.11required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Unit Make:</td></tr><tr><td valign=top align='left'> <input type=text name='unit make' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.12required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Unit Length:</td></tr><tr><td valign=top align='left'> <input type=text name='unit length' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.13required' value='0'> <table width=100%> <tr><td valign=top align='left'> <b>Event:</td></tr><tr><td valign=top align='left'> <input type=text name='event' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.14required' value='0'> <table width=100%> <tr><td valign=top align='left'> <b>Requested Utilities</td></tr><tr><td valign=top align='left'> <input type=text name='utilities' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=''></td> </tr> </table> <!-- End Form Text Field Block --> <!-- Form Text Field Block --> <input type=hidden name='2.1.1.7.15required' value='1'> <table width=100%> <tr><td valign=top align='left'> <b>Email:</td></tr><tr><td valign=top align='left'> <input type=text name='SubmitterEmail' value='' size='50' maxlength='50' onclick='' onblur='' onfocus='' onchange=' 0'></td> </tr> </table> <!-- End Form Text Field Block --> <br> <br> <!-- Title Block --> <table width='100%'> <tr> <td align='center'> <font color="#000000" face="Times New Roman" size="4"><b>Notice To Registrant</b></font> </td> </tr> </table> <!-- End Title Block --> <br> <!-- Text Block --> <table width='100%'> <tr> <td align='left'> <font color="#000000" size="3">This property is privately owned. The registrant (You) accepts camping privileges with the understanding that he does hereby release the Campground, it's officers and employees of all liability for loss or damage to property and injury to his/her person arising out of his/her use of it's camping facilities and agrees to indemnify the Campground, it's officers and employees against claims resulting from loss or damage to property or injury to the person, any member of the family or guest of the registrant arising out of use of the camping facilities.<br><br>By clicking submit below, the registrant verifies that all above information is correct and that he/she has read, and agrees to comply with all Campground rules and regulations, as posted on this site and at conspicuous locations within the park grounds.</font> </td> </tr> </table> <!-- End Text Block --> <br> <input type=hidden name='2.1.1.7.18required' value='0'> <!-- Form Button Block --> <table width=100%> <tr> <td align='center'> <input type='submit' 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href="/ez-catalog/X371860/8" style='color:#000000;text-decoration:none;'><img name="GP35" src="images/layout/seasonpass-ad-09-01.jpg" alt="" border='0' width="239"></a></td> </tr> </table> <!-- End Graphic Block --> </td> </tr> </table></div> <!-- End Layout Block --> </td> </tr> </table></div> <!-- End Layout Block --> </td> </tr> </table></div> <!-- End Layout Block --> </td> </tr> <tr valign='top'> <td valign='top' align='center'> <!-- Layout Block --> <div class='ezpagebuilder-ie-layout-width' style='padding-right: 60px;padding-left: 74px;'><table width='100%' cellpadding='0' cellspacing='0' cellspacing='0' border='0'> <tr> <td align='center' valign='middle'> <!-- Layout Block --> <div class='ezpagebuilder-ie-layout-width' style='background-color: #f2ecd7;padding-top: 15px;padding-bottom: 25px;'><table width='100%' cellpadding='0' cellspacing='0' cellspacing='0' border='0'> <tr> <td align='center' valign='middle'> <!-- Graphic Block --> <table cellpadding='0' border='0' cellspacing='0' width='100%' style='border:0;'> <tr> <td style='text-align:center;'><a style='color:#000000;text-decoration:none;'><img name="GP41" src="images/layout2009/OrangeBar.jpg" alt="" border='0' width="891" height="14"></a></td> </tr> </table> <!-- End Graphic Block --> </td> </tr> </table></div> <!-- End Layout Block --> </td> </tr> </table></div> <!-- End Layout Block --> </td> </tr> <tr valign='top'> <td valign='top' align='center'> <!-- Layout Block --> <div class='ezpagebuilder-ie-layout-width' style='padding-right: 60px;padding-left: 74px;'><table width='100%' cellpadding='0' cellspacing='0' cellspacing='0' border='0'> <tr> <td align='center' valign='middle'> <!-- Layout Block --> <div class='ezpagebuilder-ie-layout-width' style='padding-right: 30px;'><table width='100%' cellpadding='0' cellspacing='0' cellspacing='0' border='0'> <tr> <td align='center' valign='middle'> <!-- Layout Block --> <div class='ezpagebuilder-ie-layout-width'><table width='100%' cellpadding='0' cellspacing='0' cellspacing='0' border='0'> <tr> <td align='center'> <!-- Advanced Text Block --> <table width="100%" background='' cellpadding=0 cellspacing=0 border=0> <tr> <td align=left> <!-- Your Html --> <div style="text-align: center; font-family: Arial; color: rgb(255, 255, 255);"><span style="font-size: 8pt;">© 2009 Clay's Park Resort • All Rights Reserved.</span></div> <!-- End of Html --> </td> </tr> </table> <!-- Advanced Text Block --> </td> </tr> </table></div> <!-- End Layout Block --> </td> </tr> </table></div> <!-- End Layout Block --> </td> </tr> </table></div> <!-- End Layout Block --> </td> </tr> </table> <center class='ezpagebuilder-page-footer'> <br> <p> <strong>For more information:</strong><br> Clay's Park Resort<br> 13190 Patterson St. N.W.<br> N. Lawrence, OH 44666 US<br> <a href="mailto:info@clayspark.com">Email: info@clayspark.com</a><br> <font color="#FF0000"><strong>(330) 854-6691</strong></font><br> <font color="#FF0000"><strong>1800 860-4FUN</strong></font><br> <font color="#FF0000"><strong>Fax: (330) 854-6797</strong></font><br> </p><p class='ez-hit-counter'><a href="http://abc.eznettools.net/D302060/spacer11.jpg"><img src="/cgi-bin/count?D302060%2FX371860%2F%2F09-camping-request.hit" title='Professional Custom Web Site Design & Ecommerce' alt='Professional Custom Web Site Design & Ecommerce' border='0'></a> <span><br><a style='font-size: xx-small' href='http://abc.eznettools.net/D302060/spacer11.jpg'>Custom Web Site Design & Ecommerce</a></span></p> <small>© Copyright 2010 Clays Park Resort. All Rights Reserved.</small> </center> </td> </tr> </table> </CENTER> </body> </html>
