2024 Camping in Arkansas Registration Form

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Start Date: 2024-05-15       Departure Date: 2024-05-19

North Little Rock Riverside RV Park


Sponsor(s): AR Hogs and AR Hogs

Host: Richard Engel     Phone: (501) 772-0131     Email: liepsh@aol.com


Muster Costs:

Single Cost: $0.00   Couple Cost: $0.00   Couple + Guest Cost: $0.00  

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 $0.00.00   Two Persons $0.00.00   Two plus Guest $0.00.00

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 Camping in AR Meet and Greet @ 1700 M - Cost: $0.00

May 15-19, 2024. The cost of the sites are $47.50 for a site on the river and 42.50 for all other sites. This is the price WITH the military discount. Meet& Greet at Pavilion@1700.Snacks&Smores   Total: $

  Tour#2 Mystery Mansion Escape Room May 16th - Cost: $25.00

May 16th Bring your own Brunch 1100. Mystery Mansion Escape Room 1800. Will caravan. Walker friendly. We will do the "hilarious" Christmas room. Seating will be available for those who need it.   Total: $

  Tour#3 Lunch, shopping, and Games - Cost for l - Cost: $0.00

Lunch at David's Burgers 3510 Landers Rd, NLR. 1100 We will haver our own area to eat. There are ramps available. Shopping Galore after lunch. Games that evening at 1800.   Total: $

  Tour#4 Me & McGee, Potluck, and games. - Cost: $0.00

These events only occur at selected times during the year. There is a covered pavilion, with venders, wine tasting/sip while you shop, food trucks. See link to event and more info in comments **   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:

This event does not have a muster fee. Please mail a copy of this form to Richard Engel, 5400 RIDGE RD, JACKSONVILLE, AR 72076.