Coldwater Rally Registration

              TriChapter Rally - June 14-17, 2018

Branch County Fairgrounds, Coldwater, Michigan

REGISTRATION FORM

Name(s) _____________________________________________ SKP#______________

Mailing Address_______________________________________+__________________

City _____________________________________  ST___________  ZIP_____________

E-Mail address (please print)_______________________________________________

Type of RV & Length______________________________________________________

Emergency Contact Person_________________________________________________

Emergency Contact Phone # (_____)_____________

Arrival Date:____________________       Departure Date:_____________________

CAMPING FEE:        $20/night            X           Number of nights________  =  $_______

RALLY FEE     :  $12 per person          X           Number of People________  = $_______

                                                                                                TOTAL              $_______

Most of the camping sites are 30amp with water and sewer.  The parking supervisor will assign camping sites biased on individuals with special needs and time of arrival.  Please advise any special camping needs on this registration form.  There is a dump station.

By your attendance at this event you are agreeing to the following                                                                 As an attendee, you assume all risk & danger relating to your personal property, RV, and attendance at this Chapter Event, whether occurring prior to, during, or after the event.  In the event of loss or theft, no claim will be made upon Escapees, it’s volunteers, employees, or agents.  Volunteers may be directing and assisting you in your parking areas.  It is, however, the driver or the RV or other vehicle that is ultimately responsible for any damages to their property or property of others.  As an attendee at this event, you are granting you permission to be filmed, videotaped, audiotape, or photographed and granting full use without compensation.

____________________________        ____________________________        _______________

(Signature of Participant)                         (Signature of Participant)                             (Date)

Note: Our parking crew will be available from 10:00am to 3:30pm to park you.  Please plan to arrive during this time frame.  Thank You

+Please return form to Doug & Anna Craw or contact via E-Mail (crawd@juno.com) to register (do not send money)