Official Registration Form
2007 Mid-South Rally at
Thursday, June 28th through
Saturday, June 30th
Please
print this form, enter all requested information, and mail along with a check
(personal checks are OK). Make check payable to:
Tracey Stark
Please return Registration Form and
all fees no later than May 20th, 2007.
Rally
Registration Fee:
Cost
for _____ Adults at $40 @ = $_______ (Rally
Registration Packet-Goodies, Friday Dinner, Saturday hamburger / hotdog lunch,
and Saturday Dinner!)
Cost
for _____ Children at $20 @= $_______ (5 & Under Free, Children ages 6-17
Goodies, Friday Dinner, Saturday hamburger /hotdog lunch, and Saturday Dinner)
Total
Registration Fee:
$________
(Please
mail one check for your entire group's registration)
Poker
Run Entry Fee:
$10 per Boat $_______
(limit 1 hand per registered boat or family attending without a boat.) Please
send a separate check for the Poker Run Entry Fee.
Please
list all members of your boat's crew. Print names as you want them to
appear on the name tags. Please write the age after the name of anyone 19
years old or younger.
Name T-Shirt Size (Adult: S M L
XL XXL; Youth*: YS, YM, YL)
1.
_________________________ _____ 5.
_________________________ _____
2.
_________________________ _____ 6.
_________________________ _____
3.
_________________________ _____ 7.
_________________________ _____
4.
_________________________ _____ 8.
_________________________ _____
*
Youth will receive “Future Crownie” shirts with small
rally logo on back
Mailing
Address:
_______________________________________
Phone: _________________
______________________________________
E-Mail:
________________________________required (Official Announcements will be
emailed)
Where
are you staying during the Rally: ______________________ Arrive: ______ Depart:
________
Phone
# where you can be reached during the Rally: _________________ Cell #:
_________________
Contact Name/Phone Number in event of emergency:
_____________________/__________________
Boat
Make (if other than Crownline):__________________Boat Model:
Boat
Color(s): Boat Name:____________________________
Is
it OK to share all information on this form with other Crownies
at the Rally?
Yes No (Circle
one)
If
no, indicate which information you do not wish to
share. ___________________________________
This Rally is organized entirely for your pleasure by fellow Crownline Owners who volunteer their time! Your enjoyment and your safety is totally your responsibility. Crownline Boats, Inc. is not involved with the planning of this Rally. Please feel free to distribute this form to anybody you feel would enjoy participating!