Puerto Penasco Rally Registration Form
Transcription
Puerto Penasco Rally Registration Form
This is a fillable PDF form which can be completed, saved and printed on your computer. Escapees Chapter 8 - Feb. 3 - 16, 2016 Puerto Penasco Rally Registration Form Please fill out all blanks completely and initial * where required! Date: Name 1: SKP#: Name 2: Address: City: State: Zip: Phone: Cell Phone: Email: Rig Make & Model: Rig Type: Class A Pets: Dogs # Length: Slide Outs: Class B Cats # Class C Fifth Wheel Towed vehicle going to Mexico Travel Trailer Truck Camper Make sure to bring current rabies certificate! Special Explain: Needs: Is this your FIRST Chapter 8 Rally to Mexico? Yes Is this your first RV trip into Mexico? Yes Can you speak and read Spanish? Fluent No No Poco If NO, How Many: If NO, How Many: No Initial each item below to acknowledge acceptance. CB Radio + external antenna required for group travel. Initial Here * PASSPORTS are required for everyone, including children. It can take up to two months to receive a new passport. This applies to both U.S. and Canadian Citizens. Do all persons in your rig have a U.S./Canadian passport valid through August 2016? Yes No * Mexican Liability Insurance written by a Mexican company is MANDATORY. A list of recommended agents is on our web site. * * NO GUNS, AMMO, PEPPER SPRAY, OTHER WEAPONS, OR RECREATIONAL DRUGS ARE ALLOWED IN MEXICO!! Volunteering – Chapter 8 is NOT a tour company. We rely completely on volunteers. What are your skills? We can help with: Registration Parking Group Leader Tail Gunner Photography Physician R.N. First Aid Charity Charity Auctioneer 2016 Chapter 8 Puerto Penasco Rally Fees February 3 – 16, 2016 A: Registration Fee # of Rally Attendees (non-Refundable) B: Camping Fee (for Puerto Peñasco) x Beach Front Site Off Beach Site Rally Fee (includes rally, 3 meals, t shirt, rally pins, gift, and activities in the park) p/p x $45.00 $230.00 $180.00 $70.00 (Same Rig) Optional With Registration: C: Charity Donation (Voluntary) Donations to Charity are your choice, but please be generous. D: Chapter 8 Annual Membership Dues ($6.00/Year) New Renewal Total Due: Payment Options PayPal 1. Complete this registration Form online. 2. Make payment through PayPal® on the Chapter 8 Website (www.mexicanconnection08.com) 3. Email completed form as attachment to: 2016rallyonthebeach@gmail.com Cancellation Policy: Registration Does NOT include Organ Pipe camping fees that are paid directly to the park. Mail SAVE CHAPTER 8 3% by MAILING your check and completed registration form to: Larry & Orene Brown 6505 W. Heritage Way Florence, AZ 85132 Make payable to “Mexican Connection Chapter 8” (in U.S. funds) Payments by check must be received by January 1, 2016. Only PayPal payments after that date. fee of $45 per person is non-refundable. Rally Fee refund requests must be emailed before Jan. 3, 2016, to 2016rallyonthebeach@gmail.com. Subject Line: Refund Request All rally participants must join the rally at Organ Pipe Cactus National Monument outside Ajo, AZ by February 3, 2016. The Registration and Parking Committees, Group Leaders, and Board members must arrive by Feb 2, 2016. All pre-rally activities will take place at this location. We will make your reservations at Organ Pipe, but . included in your Rally fee. . the Organ Pipe camping fees are not Fees at Organ Pipe: $12 entry (WAIVED WITH SENIOR NATIONAL PARK PASS) $16 camping ($8 WITH SENIOR NATIONAL PARK PASS) If you do not have a Senior Pass, you can buy one at Organ Pipe, or any other National Park. (Must be 62 or older) . If you require hook ups, there is an RV park in nearby Lukeville, as well as a park between Organ Pipe Cactus and Ajo. Waiver (Must be signed by ALL attendees): By your attendance at this event, you are agreeing to the following: As an attendee, you assume all risk and danger relating to your personal property, RV and attendance at this Escapees Chapter 8 Rally, whether occurring prior to, during, or after the event. In the event of loss or theft, no claim will be made upon Escapees, Chapter 8, its volunteers, employees, or agents. Volunteers may be directing and assisting you in your parking areas. It is, however, the driver of the RV or other vehicle who is ultimately responsible for avoiding obstacles or dangerous situations and is solely responsible for any damages to their property or the property of others. As an attendee at this event, you are granting your permission to be filmed, videotaped, audio taped or photographed, and granting full use without compensation. Signed #1 #2 Print Save
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