|
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___________________________________________________________________________________________