Milford Conservation Camping Permit

NAME _________________	DATE REQUESTED TO CAMP __________
ADDRESS ______________________________	Arrival __________
PHONE NUMBER ______________	Departure ____________
Number of Campers ________________

I assume all risks and hazards incidental to using this property. I agree to abide by the rules and guidelines as outlined above.

_____________________________________ Signature of Applicant

_________________________________________ Chair, Milford Conservation Commission or Vice-Chair, Milford Conservation Commission

________________________________________ Fire Warden - Milford Fire Chief