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Name Surname

Email Address

Phone Number

Identification Number

Language Preference: Language Preference: Afrikaans English

Facility: Facility: Camp Cottage

Date of Arrival

Date of Departure

Camping Gear: Camping Gear: Tent Road Caravan (Gypsy|Jurgens|Sprite etc.)‎ Off Road Caravan (Imagine|Bush Lapa|Conqueror etc.)‎

How many Adults?

How many Children 2years - 11years

How many Children 12years and older?

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