JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2022 Silver Summer Kick-off Rally
Rally Dates: June 2-5, Departing June 6
Host: Charlie and Jeri Prisco
* Please Make Camping Reservation Before Registering *
Resort at Canopy Oaks
16950 County Road 630
Lake Wales, FL 33898
(863) 213-0346
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Contact Phone
*
Your answer
Member of Florida Airstream Club
*
Yes
No
Required
Have you received your official Florida Airstream Club Name Badge? (Regular Members Only)
*
Yes
No
WBCCI Number
*
Your answer
Number in your party (including yourself)
*
Your answer
Arrival Date
*
MM
/
DD
/
YYYY
Departure Date
*
MM
/
DD
/
YYYY
I understand that if I need to make changes to my registration, I will email the rally host.
*
Yes
Required
Rally Fee: $20.00 per person to be collected at the rally. I understand that I will have to pay upon arrival.
*
Yes
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms