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Pre-Registration Form

Cottonwood Gathering
Dead Horse Ranch State Park
September 23rd-26th

Open to *1980 & OLDER* trailers, all teardrops, & trailers of interest.

*Please select N/A for year if you are registering a teardrop or trailer of interest*

Pre-Registration WILL NOT secure a reservation until we have received payment and registration form by mail. Pre-Registration assists us with planning the event.

First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
Zip Code: *	(5 digits)
State: *
Phone #: *
Email: *
Make: *
Model: *	Please select N/A* for year if you are registering a *teardrop or trailer of interest**
Year:
Date of Arrival: *
# of nights: *
Cost:	$17 per night
Payment:	Please download the registration form below to include with your payment. -.DOC -.PDF
Info:	There is NO electric, water, or sewer hookups. Clean & convenient restrooms & showers. Dish cleaning sink is provided behind the restrooms. *If you are not staying extra night(s), please be sure to be packed up and out of the park by early afternoon on Sunday in case it is reserved by someone else.*
Liability Waiver:	By submitting this form: I agree to hold harmless the coordinators of the Cottonwood Gathering and Dead Horse Ranch State Park for any act or omissions which may result in injury to me or my guest(s), as well as theft or damage to property during or as a result of this event.
Security Code: *