Padre's Cycle Inn LLC                                                 Please Print Clearly
TRIRI 2010 Registration for Padre's Cycle Inn Services
Padre Guest One: (IMPORTANT: Please list primary contact person as Guest One)

Name ___________________________________________________

Phone______________________________

Email ___________________________________________________

Padre Guest Two:
Name ___________________________________________________

Phone ______________________________

Email ___________________________________________________

Tent Choices: All tents are top quality Sierra Designs.
Padre Regular: is a three person tent which will accommodate either one twin, or one full (double) size mattress.
Padre Dome: A very large six person tent which allows standing room and accommodates two twin or one queen size mattress.

Towel and or Chair Service Only: Padre's towel and chair service is included with all tents but is also available to anyone else who would like to
have a clean fresh towel and washcloth, and or chair for the event. Just fill out this form and check the appropriate box.
Remember, Each tent service includes: luggage transport, camp chairs, daily cold soft drinks & snacks in the shade of Padre's Post, fresh towels &
wash cloths, and Padre's First Class Hospitality all at no additional charge.
                                                                         (40 LB. PER PERSON LIMIT ON BAGGAGE)

Please place X on appropriate line                                        Total if registered and deposit received  by                    4-30-10            After 4-30-10
Padre Regular Single: One person in regular tent with one twin mattress                                                          _______$325            _______$360
Padre Regular Double: Two persons in regular tent with one full mattress                                                        _______$425            _______$455
Padre Dome Single: One person in one Padre Dome with twin mattress                                                            _______$425            _______$455
Padre Dome Double: Two persons in one Padre Dome, 2 twins or one queen mattress                                    _______$525            _______$555
Remember to bring one personal towel as this service is not   Daily Towel and Washcloth only       _______$30           on site $35
          
available for the last day of the event                               Chair only                                      _______$30           on site $35
                                                              Towel and Chair Combo     (INCLUDED WITH ALL TENTS)         _______$50           on site $55
(DUE TO LOSSES WE NOW REQUIRE A $20 REFUNDABLE DEPOSIT ON EACH TOWEL AND OR CHAIR SERVICE)
(TOWEL & CHAIR  DEPOSIT NOT REQUIRED FOR TENT SERVICE CUSTOMERS)                             
                                                                                                                                              
                                                                                                                                                   Balance Due $_____________
     Please check mattress choice for dual occupant Padre Dome:
     _____ Two Twins or_____ One Queen

Credit Cards accepted by phone only at this time
Others may Mail registration with deposit in U.S. Checks payable to:
Padre's Cycle Inn LLC
PO Box 104
Mexico, Mo. 65265
Phone 573-721-4400

Cancellation Policy: A $50 cancellation fee will be applied if the cancellation is received one month prior to the event.
Sorry, no refunds will be given if the cancellation is received less then one month from the start of the event. Contact Padre for information about TRIP
CANCELLATION INSURANCE IS AVAILABLE through McKay Insurance and other agencies.
Agreement: Padre's Cycle Inn is a vendor service for this event and said event holds no liability for these services. By signing I understand there are
risks associated with this service. I, and/or anyone acting on my behalf, waives, releases, discharge, indemnify and agree not to sue, and hold harmless
Padre's Cycle Inn, its owners, officers, and staff. This waiver and hold harmless agreement includes any and all injuries, personal expenses, loss and or
damage to persons, or personal property, incurred as result of any action, including but not limited to the weather.
This waiver also serves as a release for conversation, video, audio, or photographs to be used by Padre's Cycle Inn for promotional purposes.

Registrations will not be accepted unless signed by all Padre's guests.

Signature Padre's guest one: ___________________________________________ Date ________________

Signature Padre's guest two:____________________________________________ Date ________________

Be sure to SEND a signed copy of this form along with your registration fees to Padre, and PRINT a copy for your records! Please e-mail or phone Padres
for registration confirmation.
                                                                                        
PadresCycleInn.com