Please complete all fields that are applicable to you or your party.

Date of Arrival

Date of Departure

Approximate time of arrival

What Type of Accommodation do you Have?

Do you have an Awning?

What type of Pitch would you Like?

No of Adults in your party?

No of Senior Citizens in your party?

How many Children under 3Yrs?

How many Children  3 ~ 16Yrs?

How many Teenagers 16 ~ 18Yrs?

How many Students 18 ~ 22Yrs?

If you are Teenagers or Students, are you a supervised group?

Do you have a Children's junior Tent?

Do you have any Dog's?, if so how many, state small, medium, large.

Vehicle Registration

Are you Interested in fishing?

Are you interested in Conservation?

Please Give your Name

Please Give your full postal address including post code.

Please Give your Telephone/Fax number including STD code

STD

TEL.

FAX.

Please Give your email address (If Applicable)

If we have excluded anything which you require please state below.

How did you hear about us?

Have you been to Blackland Lakes before?