Seasonal Campsite Application

Conservation and Climate

2021 Manitoba Conservation and Climate

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2021 Manitoba Conservation and Climate

Seasonal Campsite Application

Applicant Information

Last Name

First Name and Middle Initial

Last Name of Spouse/Partner (If Applicable)

First Name of Spouse/Partner

Mailing Address

Address

City

Province

Postal Code

Telephone

Daytime

Evening

E-Mail Address

Campsite Information

Campground

Level of Service

Camping Unit Type

Trailer/RV licence plate # (for single tent, van, truck camper, or motor home supply vehicle plate #)

All trailer, RV or fifth-wheel applications must declare a trailer/RV license plate number and a copy of the trailer registration or Notice of Registration and/or Insurance Coverage in Force must be attached (photocopies are acceptable). Tent, van, truck camper, and motor home applications must reflect the motor vehicle licence.

**If you have indicated that your trailer has not yet been purchased, a proof of purchase must accompany your trailer registration when submitted**

Applications that do not reflect this information will not be accepted. Duplicates will be disqualified.

Trailer Registration Attachments Attach a copy of Registration or Notice of Registration and/or Insurance Coverage in Force
Files must be in .jpg/.jpeg format, no larger than 3MB in size each. If you experience issues submitting your form, contact the Seasonal Camping Coordinator at seasoncamp@gov.mb.ca.

Attachment 1:

Attachment 2:

Are you an applicant with a disability who requires physical accommodation through an accessible seasonal site? Yes No

Physician Certificate Attachment

Attach a signed Physician Certificate
Files must be in .jpg/.jpeg format, no larger than 3MB in size. If you experience issues submitting your form, contact the Seasonal Camping Coordinator at seasoncamp@gov.mb.ca.

I am applying for a seasonal campsite by credit card payment in the amount of $0.00 payable to the Minister of Finance, Manitoba, as full payment of the seasonal permit fee.

To pay by certified cheque/money order/bank draft, you must fill out a paper copy of the application form and mail it to Manitoba Conservation and Climate Box 52, 200 Saulteaux Crescent, Winnipeg, MB R3J 3W3. Payment by personal cheque will not be accepted. All applications must be received no later than 4:30 p.m. February 5, 2021. Email and Fax submissions will not be accepted.

I have read, understand and agree to comply with the rules within the Seasonal Campers’ Guide and Conditions of Application and Site Selection. I also understand that any contravention of the rules may result in revocation of its occupancy privileges as provided for in The Provincial Parks Act and all Regulations.

Date