City of Jacksboro Texas Online Form Center

2. Arrival Date*
3. Departure Date*
5. Purpose Of Reservation*
6. Campsite*
   -- Select One --Electric/Water HookupNon-Electric/Tent
8. Number Of Campers
10. Adults*
    -- Select One --012345+
11. Teens*
    -- Select One --012345+
12. Children*
    -- Select One --012345+
14. Applicants Name*
16. Address*
17. City*
18. State*
20. Drivers License: Number & State*
22. Contact Number*
23. Email Address
25. Alternate Contact Name
26. Alternate Contact Number
28. Vehicle Information
30. License Plate Number & State*
31. Color*
32. Year*
34. Make*
35. Model*
37. RV Information
39. License Plate & State
40. Color
41. Year
43. Make
44. Model
46. Camping Fees

    * $15.00 per night for Electrical/Water

    * $5.00 per night for Non-Electrical/Tent

    Payment and application must be completed to confirm a reservation. 

    ACCEPTABLE FORMS OF PAYMENT:

    Cash, Money Order, Check, Credit/Debit Card

    * There is a 3.5% processing fee on card transactions. 

48. Verification

    There are 4 electrical/ 3 water hook-ups rented on a first come first serve basis.

    Tents can be placed anywhere along the lake, but are not allowed by the buildings. 

    The permit may only be issued for 5 consecutive nights. The Director of Recreation or the City Manager can approve additional nights. 

    The permit holder agreed to abide by all City Ordinances and all applicable State and Federal Laws.

    
    

50. First Name*
51. Last Name*
53. Date & Time*
    Date & Time

    Date & Time
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit Submit and Print

* indicates a required field