Print Use this form to print a blank form. Prints best in Chrome.
Start Date: 2025-07-10 Departure Date: 2025-07-10
Rogue Roundabout
Sponsor(s): AR Hogs
Host: Donnie Reed Phone: (501) 837-4766 Email: shelpingothers@gmail.com
Muster Costs:
Single Cost: $0.00 Couple Cost: $0.00 Couple + Guest Cost: $0.00
An entry in all fields shown in the registration form is required.
Pilot: SMART#:
Copilot: SMART#:
Home: Pilot's Mobile: Copilot's Mobile:
Pilot's Email:
Street
City State Zip
Please provide at least one emergency contact other than your Copilot.
Notify: Phone: Relationship:
RV Type: Make:
Model: Length:
I tow a vehicle behind my motor home. Total length of tow and towing vehicles:
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.”
Planned Arrival: Planned Departure:
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
Tour#1 2025 Lunch at Rogue Roundabout in Conway - Cost: $0.00
The Reeds are hosting a luncheon at Rogue Roundabout in Conway on July 10th at 1130. Address is 804 Chestnut St. Conway, AR 72032. The cost of lunch is on your own. Website below. Please RSVP Total: $
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.