*Name
*Address
*City
*State	_____*Zip Code

Phone

*E-mail

DEPOSITS

Please Reserve	Qty.	Cost        No. Days	Total
Campsite(s):		x $   x    =	$
Stall(s):		x $10.00 =	$
TOTAL:			$

Primitive = $15.00	RV = $20.00
Bunkhouse B = $30.00	Bunkhouse A = $50.00

I've enclosed a one-half of the stall/site total $ to secure my reservation.

Deposits are non-refundable, but may be applied towards a different stay within one year of the original reservation.

 Primitive Campsites are not numbered or designated AND
are first come first served.

Click here for a map of our camp ground

Note: a current Coggins is required for all Equines

PLEASE PRINT
THE COMPLETED REGISTRATION FORM AND MAIL WITH DEPOSIT (PAYABLE TO):

Ponderosa Campground
1305 Ponderosa Rd
Pineville MO 64856

REMEMBER: Negative Coggins Test (within 1 year)

Email: dkp7210@olemac.net