2024 Veterans Day Muster Registration Form

  Use this form to print a blank form. Prints best in Chrome.

Start Date: 2024-11-08       Departure Date: 2024-11-12

Palm View Gardens RV Resort


Sponsor(s): FL Buccaneers

Host: Jack Fritz     Phone: (813) 508-5680     Email: Jack.Fritz99@gmail.com


Muster Costs:

Single Cost: $15.00   Couple Cost: $30.00   Couple + Guest Cost: $45.00  

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 $15.00.00   Two Persons $30.00.00   Two plus Guest $45.00.00

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

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

     

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

Tours

  Tour#1 Zephyrhills Veterans Day Parade - Cost: $0.00

We will have service flags, a float plus mobility scooters disguised as jets for the 9 Nov Veterans Day Parade. If able, please consider arriving a day early to help decorate and assemble.   Total: $

  Tour#2 Zephyrhills Battle for Veterans - Cost: $0.00

Immerse yourself in the sights and sounds of World War II with captivating live battle reenactments, authentic living history displays, and a variety of vendors offering military items.   Total: $

  Tour#3 Zephyrhills Brewing Company - Cost: $0.00

They brew all the beers on tap, in-house in small batch kettles. This allows them to experiment with different styles of beer, providing a variety of beers at great prices!   Total: $

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 FL Buccaneers), to Jack Fritz, 15406 Stonecreek Ln, Tampa, FL 33613.