4th Annual TearDrop and Vintage Trailer Rally Camping Mountain Get-away
August 14 - 18, 2013 Hurkey Creek Park
56375 Highway 74
Mountain Center, CA 92561
REGISTRATION FORM
Name: ________________________________ Spouse/Friend: ___________________ Total in Party:______________
Address: ________________________________________________________
City: ______________________ State: __________ Zip: ______________
Email: _____________________________________ Phone: (____ )_____________
Model of Teardrop/Vintage Trailer:_________________________ Year: _______
Registration fee is $16.00 per night for registration (non-refundable after July 14, 2013). A potluck will be on Saturday at 5:30pm. This is a dry camping event, no electric for the trailers. Coin operated showers. Rain or shine. This is a group camp site, sorry no early arrivals.
Night(s) Camping: ________ Date arriving: _____/_____/_____ Day____________ Enclosed: $______________
Make checks payable to: C. Corliss
Mail to: C. Corliss P.O Box 351, Hemet, CA 92546
Liability: My signature hereon releases the tear drop trailer and vintage trailer rally camping members, facilitators, and organizers from any and all liabilities or responsibilities from any accident, injury, or theft that occurs to me or my guests during our participation in this event.
Signature: ____________________________________________ Date: _____/_____/_____
Carrousel @ 951-929-2891 or carrosel43@yahoo.com
August 14 - 18, 2013 Hurkey Creek Park
56375 Highway 74
Mountain Center, CA 92561
REGISTRATION FORM
Name: ________________________________ Spouse/Friend: ___________________ Total in Party:______________
Address: ________________________________________________________
City: ______________________ State: __________ Zip: ______________
Email: _____________________________________ Phone: (____ )_____________
Model of Teardrop/Vintage Trailer:_________________________ Year: _______
Registration fee is $16.00 per night for registration (non-refundable after July 14, 2013). A potluck will be on Saturday at 5:30pm. This is a dry camping event, no electric for the trailers. Coin operated showers. Rain or shine. This is a group camp site, sorry no early arrivals.
Night(s) Camping: ________ Date arriving: _____/_____/_____ Day____________ Enclosed: $______________
Make checks payable to: C. Corliss
Mail to: C. Corliss P.O Box 351, Hemet, CA 92546
Liability: My signature hereon releases the tear drop trailer and vintage trailer rally camping members, facilitators, and organizers from any and all liabilities or responsibilities from any accident, injury, or theft that occurs to me or my guests during our participation in this event.
Signature: ____________________________________________ Date: _____/_____/_____
Carrousel @ 951-929-2891 or carrosel43@yahoo.com
