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Offical Registration Form
2010 National Crowndevous
Thursday, June 17th - Sunday, June 20th
General Information
Last Name
Boat Year
Address 1
Boat Make
Address 2
Boat Model
City
Boat Color
State
Accent Color
Zip Code
Boat Name
Phone #
Staying where?
Cell Phone #
Arrival Date June
Email
Depart Date June

Rally Registration Fees:
Number of Adults @ $35
(12yr. & older) Saturday Dinner, registration goodies and prizes!
Number of Children @ $25
(2-12yr.) Saturday Dinner, registration goodies and prizes!
Poker Run Entry $20/hand
Limit 1 hand per couple.
Total Cost $
*Payment options on next page.

Guest info for the Goodies!
Enter names as you would want it on a name tag
Name
T-Shirt Size
Your Name
Guest #1
Guest #2
Guest #3
Guest #4
Guest #5
Guest #6
Emergency Contact Information
Last Name
First Name
Phone #
Alt Phone #
Is it OK to share the Name(s), Boat, and your Rally dates with other Crownies?
If no, please indicate in the comment section below which information you do not wish to share.
Comment Section

To report a problem, contact the Rally Committe