Hillside Palms RV Park Reservation Request Form
If you are staying more than 3 weeks, you must email a Photo of all Prospective Tenant's Drivers Licenses to hillsidepalms@gmail.com Additionally, you must complete and submit an application. EXTENDED STAY REQUESTS are subject to background check and approval process.
Email address *
Arrival Date *
MM
/
DD
/
YYYY
Estimated Departure Date *
MM
/
DD
/
YYYY
ESTIMATED LENGTH OF STAY
Your answer
First Name *
Your answer
Last Name
Your answer
Your Preferred Method of Payment NOTE: Due to Covid-19 we are doing No-Contact Payments Only:
PHONE NUMBER *
Your answer
Applicant Birth date (Required For Extended Stay)
MM
/
DD
/
YYYY
Birthdate of Roommate/Partner/Spouse (For Extended Stay Guests: Only 2 persons/unit without special approval)
MM
/
DD
/
YYYY
Current Address
Your answer
Previous Cities of Residence (Required For Extended Stay Only)
Your answer
RV Length in FEET *
Your answer
SPACE REQUEST
Model Year of RV
Your answer
How many Slide Outs on your RV
ALT PHONE NUMBER
Your answer
Short Term OR Extended Stay = LONGER THAN 3 WEEKS *
Are you a Snowbird? *
Verification of Employment (For Extended Stay ONLY) *
Place of Employment - Include Boss Name and Number (Required for Extended Stay)
Your answer
The Rate for your Length of Stay:
What brings you to St. George?
Your answer
Have you Ever stayed in any other RV Park in the Area?
Email Address *
Your answer
Additional # OF VEHICLES other than RV (cars/trucks/trailer/atv/motorcycles)
Will you need Long Term STORAGE for your RV or Car?
Do you own a pet? How many? What Breed? Weight? *
Required
AGREE TO SUBMISSION: HOLD HARMLESS AGREEMENT By completing and submitting this form, you agree to protect, defend, indemnify Hillside Palms RV Park and its officers, owners, workers and agents free and harmless from and against any and all losses, damages, injuries, settlements, costs, charges, professional fees, or other expenses or liabilities of every kind and character arising out of or relating to any and all claims, liens, demands, obligations, actions, proceedings or causes of action of every kind and character in connection with or arising directly or indirectly out of reserving, visiting, parking or staying at Hillside Palms RV Park, whether it be personal injury or property damage including but not limited to vehicles of any resident or their guests by any other resident, guest, worker, contractor or by any of the following, but not limited to fire, electrical, theft, or acts of God or nature, including water, sewer, flood, rocks, weather, erosion, animal and critters, uneven ground, steep drop offs, or grass or plants, road conditions, or land movement. By staying with us, visiting the property or storing your personal property and vehicles with us and/or requesting a reservation, you assume all liability and are responsible for your driving, parking, storage, and living while on Hillside Palms property. *
Required
For OFFICE USE ONLY: Assigned Space #
Your answer
Due to the current Coronavirus/Covid19 situation, we are doing our best to protect our tenants and in accordance to the CDC recommendations, the following information must be completed and answered honestly. In the past 14 days have you been exposed to anyone with a positive Covid-19 test or has anyone in your group been diagnosed with Covid-19? *
Have you traveled internationally? What areas have you been to? List, and if none type none. *
Your answer
In the past week have you had any of the following symptoms? Check all that apply. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy