For office use only:

Amount paid __________ Check # __________ Date __________ Site # __________

2004 Registration Form

 

Print Name Legibly__________________________________________________________

 

Mailing Address___________________________________City______________________

                  

State____Zip___________Day Phone_________________Eve. Phone________________

 

E-mail________________________Website__________________

 

License plate numbers of all vehicles coming to event:___________________________

 

Names of family or guests participating________________________________________

 

__________________________________________________________________________

 

ARRIVAL TIME & DATE_______________________________________________________

(No set-up during event hours or after 10 p.m. or before 6:30 a.m.)

ALL SITES ARE ABOUT 30’ x 30’ PLEASE PLAN ACCORDINGLY.

FEES: Pre-registered before July 1

(     ) Family Camp                     $35.00 + $5.00/person over 4 people

(     ) Blanket Trader                   $55.00 + $5.00/person over 4 people              

(     ) Merchant Trader                $65.00 + $5.00/person over 4 people              

Registered July 2-Sept. 15        

 (     ) Family Camp                    $35.00 + $5.00/person over 4 people              

(     ) Blanket Trader                   $75.00 + $5.00/person over 4 people              

(     ) Merchant Trader                $90.00 + $5.00/person over 4 people

Registered after Sept. 15

(     ) Family Camp                     $40.00 + $5.00/person over 4 people

(     ) Blanket Trader                   $80.00 + $5.00/person over 4 people

(     ) Merchant Trader                $100.00 + $5.00/person over 4 people

 

Food vendors must apply separately by calling 1-800-658-2526

Type of tent (  ) Marquee/wall  (  ) Tipi  (  ) One pole  (  ) wedge  (  ) canoe camp                                         

                   (  ) other - please explain on back of form

 

Each adult or family unit must complete a form.  This form may be copied. If you are staying in another person’s camp or want to camp next to a specific person, please make a note on this form.  MAKE CHECKS PAYABLE TO BIG ISLAND RENDEZVOUS.  Call 1-800-658-2526 or e-mail at: [email protected]

 

ALL APPLICATIONS MUST BE SIGNED IN ORDER TO BE PROCESSED

I have read the rules and agree to abide by them.  I agree that Big Island Rendezvous & Festival, Inc. is not liable for loss, damage or injury to myself, family, guests, property or anyone else under my care before, after or during the course of the event.  I will hold harmless, Big Island Rendezvous & Festival, Inc., and any of its representatives, volunteers, staff or otherwise, for losses resulting from acts or omissions or those of my minor children or guest’s children.  I also agree that any images or recordings of family, guests, property or myself may be used to market and promote Big Island Rendezvous & Festival, Inc. at no cost.

 

Print Name Legibly___________________________________________________________________________________

 

Signature___________________________________________________________________________________________