Marilyn and Mike McEvoy (15434)

1514 Taylor Creek Ct.

Goshen, KY  40026

(502) 228-4025

mike@themcevoys.com

2012 Kentucky State Rally

May 15-18, 2012

Bowling Green KOA

1960 Three Springs Road

Bowling Green, KY 42104

(270) 843-1919

Rally Fee:

2 people in RV           $229.00

1 person in RV           $176.00

Extra person in RV      $ 56.00

Rally Fee Includes:

3 nights camping with 50 amp, water and sewer

Welcome dinner and farewell continental breakfast

Narrated tour of Corvette Assembly Plant

Tour of National Corvette Museum

Tours of the Bowling Green Rail Park & Museum and Riverview House at Hobson Grove

Limited to 15 units (by postmark)

Reservation deadline – April 10, 2012

Please send signed registration/disclaimer form below and check payable to:

Marilyn McEvoy

2215 73rd Street

#342

Palmetto, FL 34221

May 15-18, 2012 Kentucky State Rally Reservation and Disclaimer Form – Please submit no later than April 10, 2012

Please fill out and mail to the rally host – Mike and Marilyn McEvoy.

Date: ________________            Klub # ___________________________________

Amount enclosed:  _____________________________________________________

Name: ______________________________________________________________

Address: _____________________________________________________________

City: ________________________________________________________________

State: ________  Zip: __________________  Phone # ________________________

E-mail address: _______________________________________________________

Disclaimer:  All persons attending a Klub Rally must sign this disclaimer in order to participate.

I agree, in consideration for being able to participate in this Newmar Kountry Klub activity, to release and indemnify and hold harmless Newmar Kountry Klub and Newmar Corporation, its directors, officers and employees, from all liability for injury or damages to my person or property, or the property of persons who accompany me to this activity.  With knowledge of the type of risk or harm, which might occur at such activity, I sign this release and indemnity as part of my application.  All adult members and their guests must sign and in so doing, assume responsibility for minors in their care.

Cancellation Policy:  I understand and agree to the Klub Cancellation Policy for rallies, caravans and special events.

Signature:  ______________________________________________________________

Signature: _______________________________________________________________

Signature: _______________________________________________________________