Online Registration

Registering for the MD Samboree is easy using this online registration form.
1. Fill in the blanks                           3. Click on Submit Application        
2. Print the completed form           4. Mail payment and printed form    

Mail this page, with your check made payable to MD GOOD SAM, to: 
Kim Durham    4219 Greys Run Circle   Belcamp, MD 21017. 
We must receive this form BY October 18, 2007.
AFTER Oct. 19th please call      301-751-1819 to pre-register

SPACE STILL
AVAILABLE

Fall Samboree
"A Hillbilly Experience, the Hatfields and McCoys!"
October Fri. 26th thru Sun. 28th
(Early Bird Thurs. October 25th)

DIRECTIONS: Just follow I-70 to exit 56 and take Patrick Street to the Frederick Fairgrounds.
Good Sam #
Required
Name:
Address:
City:    State:Zip:
Phone:
E-Mail:

Parking Choice
Required

 

 Chapter Area 
County Area 
State Area
Generator Area
Handicap Walking Area
      (Close to the Buildings)
Full Handicap Parking Area?
      (Handicap Tag or Mirror Tag IS Required)		 Parking in requested areas NOT guaranteed
without pre-registration.  
Wagonmaster will attempt to honor all requests, within reason. In consideration of our staff, please try to arrive BEFORE 7PM.  NO RIGS will be parked during Opening Ceremonies on Friday evening.
You will be parked after the opening.
Type of Unit
Required		 Motor Home
Travel Trailer
Class B
Length of Unit
 # of slides 		 5th Wheel
Tent
Other

Adults   Teens 13-17  Juniors 6-12  Children 5 and under 

Samboree Fees (based on # of adults):
$70 (2 adults & up to 2 children under 18); $80 Late Registration
$65 (1 adult & up to 2 children under 18); $75 Late Registration
Add'l adults/teens @ $20 each (#)
Add'l teens @ $13 each (#)
Add'l children under 12 @ $8 each (#)
$22 Early Bird Parking (begins 10am Thursday, October 25)
Dinner, Optional  $12.00 adults, $6.00 6 to 12, 5 and under No charge  [Chicken, Roast Beef, Veggies, Salad, Rolls, Dessert]
Arts & Craft/Flea Market Table @ $6 each (#) Electricity?
Tour TBA, Thurs 1-4pm  (#)
Tour winery, Fri 1-4pm @ Free (#)
Tour Fri TBD (#)
 $ TOTAL ENCLOSED (Your Canceled check will be serve as your receipt and confirmation)

PLEASE SIGN:

I, the undersigned, accept full responsibility for our unit and persons in our unit while attending the Maryland Good Sam Samboree, and hold blameless the Maryland Good Sam Organization for any claims for personal injury or damage to my unit.

Signature _______________________     Date       
Is this your first Samboree?  Yes   No
Is this your first MD Samboree?  Yes   No

If you would like to help with any of the jobs at the Samboree please check all that apply below.  Thank you!!

Parking
Electric  

 Hospitality
Security    		 Clean-up
Other 

Thank you for using our online registration. Your cancelled check will be your confirmation.  Please print this completed page now before pressing the Submit Application button below.  Mail this SIGNED WEB page, with your check made payable to MD GOOD SAM, to: 

Kim Durham
4219 Greys Run Circle
Belcamp, MD 21017

We must receive this form BY October 18, 2007.