2024 National Muster Registration Form

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Start Date: 2024-09-16       Departure Date: 2024-09-21

The Exchange Park


Sponsor(s): East Region

Host: John Steinbauer     Phone: (210) 386-9018     Email: jfs9840@gmail.com


Muster Costs:

Single Cost: $100.00   Couple Cost: $200.00   Couple + Guest Cost: $300.00   Camping/night: $50.00  

Registration

An entry in all fields shown in the registration form is required.

Pilot:   SMART#:

Copilot:   SMART#:

   

Pilot's Email:

       

In Case of Emergency (ICE) Contact Information

Please provide at least one emergency contact other than your Copilot.

   

   

RV Information

       

       

I tow a vehicle behind my motor home.  

Attendees:   One Person $100.00.00   Two Persons $200.00.00   Two plus Guest $300.00.00

I (We) are first time attendee(s).

Guest Name:   Enter guest first and last names or “None.”

     

  50.00/night

Handicap Parking         30 Amps   50 Amps

Do you or your traveling companion use any of the following, cane, walker, electric wheel chair, scooter, C-PAP?  

If Yes, please indicate which one(s):

Special Diet Needs  

His:  

Hers:

  I will volunteer to help at the Muster

Shirts (S-XL) $24.00 each. Shirts (XXL-4XL) $26.00 each.

Mens Qty:   Size: (Mens Small to Mens 4X)

Ladies Qty:   Size: (Ladies Small to Ladies 4X)

Shirt Total: $

Tours

  Tour#1 President’s Cup National Golf Tourname - Cost: $0.00

You will want to show up early and join in the fun at Joint Base Charleston’s championship Wrenwood Golf Course. Tournament entry fee is $10 to be collected on site.   Total: $

Late Registration Fee

Add $25 after 2024-09-21:   $

Liability Release

In consideration for my (our) attendance, I (We) hereby release and agree to indemnify and hold harmless SMART, its officers, directors, employees, agents, successors, and assigns from any and all liabilities, claims, losses, and/or damages arising from my (our) attendance at this event.

All attendees must read and sign this form.

Name Signature Date
Pilot:
Copilot:
Guest:

Total Submitted: $_____________________

Please mail a copy of this form along with your check, (payable to SMART), to SMART HQ, 114 Duxbury Ave, Molino, FL 32577.