Monthly / Weekly Site Rentals MILLER'S KAMPARK MONTHLY & WEEKLYRENTAL 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 "*" 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? 1 2 3 4 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|heicAccepted 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 Adult Guest # 2 – All fields are REQUIRED Name First Last Email PhoneAddress 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|pdfAccepted 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 Adult Guest # 3 – All fields are REQUIRED Name First Last Email PhoneAddress 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|pdfAccepted 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 Adult Guest # 4 – All fields are REQUIRED Name First Last Email PhoneAddress 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 64068Complete 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 PhoneNumber of Guest in your Party: Children Under 5 stay freeHiddenNumber of Children 1 2 3 4 5 6 Number Of Childern & AgesChild 1 / AgeChild 2 / AgeChild 3 / AgeChild 4 / AgeChild 5 / AgeChild 6 / AgeArrival Date: MM slash DD slash YYYY Check Out Date: MM slash DD slash YYYY Payment Method: CASH CREDIT CARD CHECK Type of Unit: Motor Home 5th Wheel Pop Up Travel Trailer Towing a vehicle? YES NO Make Model Vehicle AgeSelect Year0-1 Year Old2 Years Old3 Years Old4 Years Old5 Years Old6 Years Old7 Years Old8 Years Old9 Years Old10 Years Old11 Years Old12 Years Old13 Years Old14 Years Old15 Years Old16 Years Old17 Years Old18 Years Old19 Years Old20+ Years OldVehicles over 10 years old will be required to upload Photo for Appearance Review.Please Upload a Photo of your RV or Trailer for Appearance Review.Max. file size: 86 MB.HiddenYear Length Slides License # Power Needed 50 amp 30 amp Comments/Questions:ACCEPT* ACCEPTBy Checking the box above I agree that I have read the Terms & ConditionsWe will be in touch with you with any further questions. Processing can take up to 48-72 hours.Signature Reset signature Signature locked. Reset to sign again
