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Kettle Creek Conservation Authority

Dalewood New Seasonal Camper Application

    This application for a permit to camp on a seasonal basis in 2023 on campgrounds owned and operated by the Kettle Creek Conservation Authority is made pursuant to the Conservation Authorities Act of Ontario R.S.O. 1990 and Conservation Area Regulations made thereunder specifically through Kettle Creek Conservation Authority’s (KCCA’s) R.R.O. 1990, Regulation 111. All sections attached to this application form conditions to its completion/acceptance.

    Preliminary Questions

    1. How did you learn about KCCA campgrounds? (required)

    2. Have you ever camped at Dalewood or Lake Whittaker before? YesNo

    3. Have you been a seasonal camper at another campground? YesNo

    If you answered yes to the above,

    3A) Where were you a seasonal camper?

    3B) How long did you stay?

    3C) Why did you leave?

    4. What type of trailer do you have?

    5. Is your trailer insured, licensed and road worthy? YesNo

    Section 1: Campsite Selection

    W3.CSS


    Section 2. Personal Information

    The permit holder may register an additional five seasonal campers to the seasonal site for a total of six. The permit holder must register all other overnight visitors not registered to the site (age 2 and over) at the gatehouse. Overnight guests must purchase an overnight pass.

    1. Permit Holder

    2. Camper Name

    3. Camper Name

    4. Camper Name

    5. Camper Name

    6. Camper Name

    7. Permanent Residence Mailing Address

    Your Email (required)

    Street Address (required)

    Town/City (required)

    Postal Code (required)

    Primary Phone Number (required)

    Secondary Phone Number (optional)

    Home/Mailing Address (Email addresses are encouraged to keep mailing costs down and to provide timely communications.) KCCA will not accept mail addressed to campers at the office/gatehouse of any conservation area. Mail will be returned to the sender.

    Section 3: Vehicle Registration

    The entry fee for two (2) vehicles per campsite is included in the seasonal camping fee. You must provide the licence plate number for the vehicle(s) you are registering to your campsite. Additional vehicles (above the two vehicles permitted per campsite) can be registered at the campground gatehouse after May 1 for an additional fee.

    Vehicle #1

    Vehicle #2

    Section 4: Golf Cart Registration

    Golf carts are allowed for seasonal campers only with the permission of the Conservation Area Coordinator and are subject to the Golf Cart Rules and Regulations outlined in Section 6.4 of the Seasonal Camping Permit Application.

    Do you intend to use a golf cart at the campground? (required)

    YesNo

    If you answered yes, please provide a description of the golf cart, make and model

    Is the golf cart NEW or does it have NEW modifications that have not been previously approved? (required)

    YesNo

    If possible, please attach a photo of the golf cart. Photos must be in JPG, PNG, or GIF format and must not exceed 10mb in size.

    Section 5: Fees and Payment Schedule

    All seasonal campers are required to read and agree to KCCA’s Fees and Payment Schedule.

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    Section 6: Rules, Regulations and Standards

    All seasonal campers are required to read and agree to KCCA’s campground rules, regulations, and standards.

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    Section 7: Application Submission Conditions


    When the Seasonal Camping Permit Application is submitted and signed by the applicant and thereafter is approved and executed at the discretion of the Kettle Creek Conservation Authority, the application becomes an agreement in support of a permit to be issued under Kettle Creek Conservation Authority’s R.R.O. 1990, Regulation 111.

    For the purpose of this application and any resulting permit issued by KCCA, “trailer” is defined as a mobile unit of occupation and includes ancillary facilities such as shed, deck, and associated landscaping.
    By submission of this application, the applicant acknowledges that he/she has read and agrees to the conditions of KCCA’s seasonal camper permit application for a seasonal camper on lands owned and operated by Kettle Creek Conservation Authority, including those conditions and stipulations outlined within Section 1 through 8 of this application.

    The applicant agrees to abide by the rules and regulations of the Kettle Creek Conservation Authority for such camping privileges. The applicant understands that he/she assumes all responsibility for their campsite and the contents thereof, and for the actions of all persons they permit to enter or occupy the campsite. Payment must be submitted for this application to be processed.


    I agree that by submitting this application, I am electronically signing the application. I solemnly declare that I have read, understand, and agree to Sections 1 through 8 of this application.
    Please sign your name below:

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