WHITEWATER RAFTING EXCURSION V  -  REGISTRATION FORM
Friday thru Sunday, July 25-27, 2008


You can print this form/page, fill it out completely and mail it along with Your check or money order (please do not mail cash) to Harbor Masters of Maine
   Attn: Rafting Trip
   PO Box 4044
   Portland, ME 04101-0244

Name__________________________________________

Address_______________________________________

City_____________________State_____Zip________

Club
Affiliation _____________________________________________________________________

Phone ________________________________________                 

Email_________________________________________

*  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *  *

The Excursion weekend  -  Full Price  -  $134.00
[  ] Deposit  -  $67.00 (due before May 23, 2008)
[  ] Balance Due  -  $67.00 (due before June 30, 2008)
[  ] Camping only  - $22.00 (due before May 23, 2008)
[  ] Full Price  -  $134.00

Total Amount Enclosed _________________

I certify that I am at least 18 years of age and that I will not bring any non-prescription drugs to the event. I will abide by the rules established for this event and I will not hold the Harbor Masters, Inc., its officers, or other members, nor any private or public property used in conjunction with this event; responsible, liable, or accountable for any personal injury or damage to, or loss of any personal property.

PLEASE NOTE:  While the possession and/or consumption of alcohol is permitted at the campsite, the legal drinking age in Maine is 21. Neither the Harbor Masters, Inc., its officers, nor any of its members shall be held accountable or responsible for any participant under the legal drinking age who chooses to possess or consume alcoholic beverages. Each participant shall be accountable and responsible for their own conduct and any resulting consequences.

By signing this form, I hereby agree to the terms and conditions as set forth above.


Name_________________________________________

Signature______________________________________

Date _______/_______/_______