2018 Kentucky Spring Rally Online Registration
      May 31 - Jun 3, 2018
  Meade County Fairgrounds, Brandenburg, KY
---    Theme - "South of the Border"   ---

*Sam & Samantha:   (First Names)
*Last Name:          
*Street Address:      
Address Line 2:     
Zip/Postal Code:  
Home Phone:  
Cell Phone:    <- Best place to reach you at Rally
*Adults in Unit:           
*Children (Infant-12): 
Teens (13-17):         
-Early Bird Days         Select -1 if Friday arrival (Working Man Special)
Rally Dates May 31-Jun 3: Arrival Date Set by Early Bird Date
Anticipated Arrival Date MM/DD/YYYY:

*RV Type      
*RV Length (feet)      
*Are You a Good Sam Member?
      Yes   No
NOTE: You do not  have to be a Good Sam Member to attend a Rally:

*Dry Camping Desired? {If 'Yes', No Electric, but we will fill your tank}
      Yes   No

Chapter Name   <--{ If you belong to a KY chapter }
*Is this your First Kentucky Rally?   
      Yes   No
*Is this your first ever Rally?
     Yes    No
*Bringing a Golf Cart? Yes  No
*Bringing a Tow Car?   Yes  No

Handicap Parking -
Please provide Handicap Sticker Number:

*Payment Choice?
   Pay Upon Arrival
   Pay Now Treasurer {Treasurer Details also after Clicking 'Submit'}

Any comments/Special Requests?

The undersigned accepts full responsibility for the welfare of their units and persons with their units while attending the
KENTUCKY GOOD SAM RALLY, and hold harmless the KENTUCKY GOOD SAM ORGANIZATION for any claims for
personal injury or damage asserted by member of their unit. We reserve the right to expel anyone causing an undesirable
disturbance. I grant permission for Kentucky Good Sam to post individual & group pictures on Kentuckygoodsam.com website
and social media.
By checking YES you agree to these terms.

    *Yes    Your Cost $
  to complete Registration!















If Paying Now!
Make Check Payable and mail to:
Kentucky Good Sam
Bill Mulkins, Treasurer
200 Finch Ct.
Vine Grove, KY 40175