Teardrop Time Gathering
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 Second Annual TearDrop Time Only Gathering

March 21 – 24, 2013 Lake Perris SRA, CA

REGISTRATION FORM

Name: ___________________________________________ Spouse/Friend: ______________________________      Children:______________

Address: ________________________________________________________   City: ______________________ State: __________ Zip: ______________

Email: ­­­­­­­­­­_____________________________________   Phone: (____ )_____________

Model of Teardrop Trailer:___________________________________ Year: ____________

Registration fee is $20.00 per night for registration received on or before March 6, 2013. Registration received after March 6, 2013 will be $25.00. DO NOT MAIL ANY FORMS AFTER THE MARCH 6th DATE. Event T-shirt orders received after March 6, 2013, cannot be guaranteed.

Night(s) Camping: ________ Date arriving: _____/_____/_____ Day_____________ Enclosed for camping: $______________

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 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 tdtimelakeperris@yahoo.com

EVENT SHIRT ORDER
2nd Annual Teardrop time shirts will be available in the standard man's T-shirt style and woman's style (scoop neck with shorter sleeves) To purchase event T-shirts, print the quantity, print in size, circle man or woman style. Sizes small to X-large are $15.00 each. Sizes XX-large and up is $17.00 each. Include cost per shirt with your registrations fee. If the style is not circled, you will get a man's shirt. Please print clearly and legible. Since there will be only a few shirts in the most common sizes available at the Gathering, we recommend you order shirts in advance.

Qty: ____ Size ________ Man ~~ Qty: ____ Size ________ Woman            Total amount enclosed for shirts:__________
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