Monthly / Weekly Site Rentals

MILLER'S KAMPARK

MONTHLY & WEEKLY
RENTAL REGISTRATION REQUEST
Miller's Kampark Requires a Minimum 7 Night Stay

If you need assistance with the form below, contact us at 816-781-7724 or TEXT – 816-708-9552

We will NEVER SELL OR SHARE information provided to us.

"*" indicates required fields

Each Adult Guest 18 and Over Must Complete – All ﬁelds are REQUIRED (Note: Tenant requests are per applicant and not ﬁled jointly per bureau compliance)

How Many Adults for this Rental?

Each Adult Guest 18 and Over must check that the box in the form that they have read and understand the Terms and Conditions

Adult Guest # 1 – All ﬁelds are REQUIRED

Name*
First Last

Email*

Cell Phone Number*

You Need to Join Our Text List! Text "KAMPARK" to 844-650-1597*
I will accept text messages from Miller’s Kampark, I understand charges may apply based on my plan.

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Former Address (if NOT at present address for 2 years):
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Valid Picture Identification Card Number

Upload a picture of your License or ID Card here: file types jpg|jpeg,|png|pdf|heic
Accepted file types: jpg, jpeg, png, pdf, heic, Max. file size: 86 MB.

ACCEPT*
I authorize the named below to obtain a credit report, criminal report, and or eviction check, on me, for tenant screening purposes.
Miller’s Kampark, 145 N Stewart Road, Liberty, MO 64068

ACCEPT*
ACCEPT
By Checking the box above I agree that I have read the Terms & Conditions

Adult Guest # 2 – All ﬁelds are REQUIRED

Name
First Last

Email

Phone

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Former Address (if NOT at present address for 2 years):
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Valid Picture Identification Card Number

Upload a picture of your License or ID Card here: file types jpg|png|pdf
Accepted file types: jpg, png, pdf, jpeg, Max. file size: 86 MB.

ACCEPT*
I authorize the named below to obtain a credit report, criminal report, and or eviction check, on me, for tenant screening purposes.
Miller’s Kampark, 145 N Stewart Road, Liberty, MO 64068

ACCEPT*
ACCEPT
By Checking the box above I agree that I have read the Terms & Conditions

Adult Guest # 3 – All ﬁelds are REQUIRED

Name
First Last

Email

Phone

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Former Address (if NOT at present address for 2 years):
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Valid Picture Identification Card Number

Upload a picture of your License or ID Card here: file types jpg|png|pdf
Accepted file types: jpg, png, pdf, Max. file size: 86 MB.

ACCEPT*
I authorize the named below to obtain a credit report, criminal report, and or eviction check, on me, for tenant screening purposes.
Miller’s Kampark, 145 N Stewart Road, Liberty, MO 64068

ACCEPT*
ACCEPT
By Checking the box above I agree that I have read the Terms & Conditions

Adult Guest # 4 – All ﬁelds are REQUIRED

Name
First Last

Email

Phone

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Former Address (if NOT at present address for 2 years):
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Valid Picture Identification Card Number

Upload a picture of your License or ID Card here: file types jpg|png|pdf (*)
Accepted file types: jpg, png, pdf, Max. file size: 86 MB.

ACCEPT*
I authorize the named below to obtain a credit report, criminal report, and or eviction check, on me, for tenant screening purposes.
Miller’s Kampark, 145 N Stewart Road, Liberty, MO 64068

ACCEPT*
ACCEPT
By Checking the box above I agree that I have read the Terms & Conditions

Complete to request a Rental Space. This section only needs to be completed once per party. All Request are based on Availability.

Registration Contact Name

Registration Contact Email

Emergency Contact Name

Emergency Contact Phone

Number of Guest in your Party:
Children Under 5 stay free

This field is hidden when viewing the form

Number of Children
1
2
3
4
5
6

Number Of Childern & Ages
Child 1 / Age
Child 2 / Age
Child 3 / Age
Child 4 / Age
Child 5 / Age
Child 6 / Age

Arrival Date:
MM slash DD slash YYYY

Check Out Date:
MM slash DD slash YYYY

Payment Method:
CASH
CREDIT CARD
CHECK

Type of RV:
Motor Home
5th Wheel
Pop Up
Travel Trailer

Make

Model

RV Age (We accept RVs and Trailers up to 10 years old.)

Over 10 years old? Please Upload a Photo of your RV or Trailer that is for Appearance Review.
Accepted file types: jpg, jpeg, png, heic, Max. file size: 86 MB.

This field is hidden when viewing the form

Year

Length

Slides

License #

Towing a Car?
YES
NO

Power Needed
50 amp
30 amp

Comments/Questions:

We will be in touch with you with any further questions. Processing can take up to 48-72 hours.

Signature

Monthly / Weekly Site Rentals

MILLER'S KAMPARK

MONTHLY & WEEKLYRENTAL REGISTRATION REQUEST Miller's Kampark Requires a Minimum 7 Night Stay

We will NEVER SELL OR SHARE information provided to us.

MONTHLY & WEEKLY
RENTAL REGISTRATION REQUEST
Miller's Kampark Requires a Minimum 7 Night Stay