Padre's Cycle Inn LLC Please Print Clearly
BAK 2012 Registration for Padre's Cycle Inn Services at:
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.
Padre Regular: is a three person tent which will accommodate one twin size mattress and luggage.
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 4-30-12 After 4-30-12
Padre Regular Single: One person in regular tent with one twin mattress _______$345 _______$375
Padre Dome Single: One person in one Padre Dome with twin mattress _______$445 _______$475
Padre Dome Double: Two persons in one Padre Dome, and 2 twin mattresses _______$565 _______$595
Remember to bring one personal towel as there is no towel Daily Towel and Washcloth only _______$30 _______ $35
service available for the last day of the event Chair only _______$30 _______ $35
Towel and Chair Combo (INCLUDED WITH ALL TENTS) _______$50 _______$55
(DUE TO LOSSES WE NOW REQUIRE A $20 REFUNDABLE DEPOSIT ON EACH TOWEL AND OR CHAIR SE RVICE)
(TOWEL & CHAIR DEPOSIT NOT REQUIRED FOR TENT SERVICE CUSTOMERS)
Balance Due $_____________
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 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