Lake Walcott Rally 2023 Registration Form
Hosts: Ray & Sherry Hoem
BRN#
First Person
First Name
Last Name
Second Person
First Name
Last Name
Other people not listed above
(First Name, Last Name)
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Number of pets (leave blank if none)
Please Select
1
2
3
4
Arrival Date
-
Month
-
Day
Year
Date
Departure Date
-
Month
-
Day
Year
Date
Preferred Power
30amp
50amp
Trailer Length
Please Select
16 - 20ft
21 - 26ft
27 - 30+ft
Rally Costs - (Choose dinner option below if you plan on eating).
prev
next
( X )
Rally Fee
Please choose the number of people in your group
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Catered Dinner
Per person charge. Select number of people. Prepared by "On the Lamb Catering"
$
30.00
Quantity
1
2
3
4
5
6
Convenience Fee
This is for paying the credit card transaction, as well as the JotForm subscription.
$
1.29
Quantity
1
Submit
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