Adelanto RV Park
11301 Air Express Way
Adelanto, Ca 92301
Adelantorvpark@comcast.net
Phone: 760-246-7775
*First
*Last
Email:
*Date of Birth
*day
*month
*year
APPLICANT INFORMATION
Phone (home)
Phone (mobile)
*Driver License #
*City
*State
*Zip Code
*Street Address
*License State
*Vehicle Make
*Vehicle Model
*Vehicle Registration State
*Vehicle Year
*Vehicle Plate #
Second Vehicle Model
Second Vehicle State
Second Vehicle Year
Second Vehicle Plate #
RV INFORMATION
*RV Type:
*RV Make/Model:
*RV Year
*RV Plate #
*RV Amps
RV Registered Owner
Reason for Stay, Pet and Additional People
*Reason for Stay
Requested Arrival
day
month
year
Addition Adults, the below must be completed for any additional person. We allow 2 adults per spots.
Children (17 and younger)
Name and Age of Children(s)
Number of Pets
Breed of each pet, all pets need approval (Pit Bulls are Not allowed)
Employment and Income
Supervisor Name
Social Security Income
Retired
Supervisor Phone Number
Employer Street Address
Employer Name
Position or Title
City
State
Zip Code
Prior Employer (only required if you have worked at your current employer less than 5 years
Yearly Gross Income
Length of Employment
Months
Years
Position or Title
Employer Name
Employer Street Address
State
Zip Code
City
Length of Employment
Years
Months
Address:
Are you Employed? if yes complete the section below
If you have more than one vehicle complete the below, only 2 vehicles per spot are allowed
Is there a second Adult
Name
Date of Birth
Employed
Second Vehicle Make
*RV Length *Slide Outs
(The Rules and Regulations are found under the "Park Rules Tab"
Select yes, if you have read the Park Rule & Regulations and agree to comply
