The Delaware State Samboree

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　 SCHOOL DAZES

September 10, 11, & 12, 2010

Delaware State Fairgrounds

Harrington Delaware, 19952

This years activities will include :

A School Dazes Theme Of Activities, Includes Theme Costume Contest, Craft Classes, Games Including Bean Bag Baseball, Tour of John Dickinson Plantation (First 48 People) Friday 9 AM , Ice Cream Social with Social Hour Friday Night, Children’s Activities, Craft Show & Flea Market, Chinese Auction Saturday, Ladies Social, Seminars, Optional Catered Dinner Saturday Evening 2 Meats (Fried Chicken & Baked Ham) , Live Entertainment Thursday Night & Saturday Night, Samgo (Bingo), Hospitality Each Morning, Vendors, Sunday Morning Christian Music, Harrington Midway Slots and Casino and Much More.

Facilities:

20/30 Amp Electric, Limited Water, Dump Station, Bath House, Heated A/C Activities Building. Bring Ext. Cords, Water Hoses, & Wye. Full Water Tanks (Water Available Upon Arrival If Needed), Empty Holding Tanks. Parking 10:00 AM to 8:00 PM. To park together you must arrive together, or Register by Chapter to park together. Please indicate your

anticipated arrival time on form below.

Registration:

Registrations Must Be Received By September 2, 2010 Late Registrations $5.00 More.

Registration Fees for September 10, 11, & 12, 2010 As Follows:

Rig With Two (2) Persons-------------------------------------$90.00 ($95.00 at Gate)

Rig With One (1) Person -------------------------------------$80.00 ($85.00 at Gate)

Each Additional Person (Children under 17 Free)---------$12.50

Early Arrival On Sept. 9, 2010 ---------------------------- -$30.00

Day Visitors (Each) From 8:00 AM Until 5:00 PM------- $ 7.50

Adult Catered Meal (Sat. Night) Each-----------------------$14.50

Kids Catered Meal (3 to 10 yr old - Sat Night ) Each ----$ 8.00 (Each Child)

Friday Tour Costs ( John Dickinson Plantation ) ---------$ 3.00 (Each Person Limited)

Craft Tables, Flea Market Tables Each----------------------$5.00

Make Checks Payable To “Delaware Good Sam”

Detach Below And Mail Form And Payment To : Barry Larkin

2472 Chance RD. Clayton,DE.19938

PH 302-653-0110 Email degoodsam@aol.com

Delaware Samboree 2010

Make Checks Payable To Delaware Good Sam

Name: ______________________ Good Sam # Exp. Date_

Address:___________________________ City State Zip:

# In Rig: Adults_ Children_ Phone No. Email _

Handicap Parking (Handicap Tag or Mirror Tag Required) Yes _ 1^st Time Attending A Samboree Y N________

Park With Chapter (Chapter ’s Name) _________________________ Arrival Time

Children’s Names

Ages

Children’s Names

Ages

Early Bird Night Thursday @ $30.00 Pre-Registered / Or At Gate ………………………….. $ _____

Samboree Fee ($90.00 Family/ $80.00 Single Pre-Registered: $95.00/$85.00 Late or At Gate.. $______

Extra Adults@ $ 12.50 each ………………………………....................................................... $ ______

Catered Dinner Saturday Night $14.50 Each ………………………………........................... $ ______

Kids Catered Dinner Saturday Night (3-10 yr old only ) $ 8.00 Each ……………………....... $ ______

Tour (Bus Transportation To & From John Dickinson Plantation ) $3.00 Each ..…....…......... $ ______

Craft Show / Flea Market Table $5.00 Each ………………………………................................. $ ______

Day Visitor $ 7.50 Each per Day From 8:00 AM Until 5:00 PM…..........…............................. $ ______

Make Checks Payable to: Delaware Good Sam Total Enclosed $_____________

Note: We the undersigned, understand the Delaware Good Sam State Committees have taken all reasonable and necessary

precautions for our safety, therefore, we accept full responsibility for the welfare of our rigs, and all occupants while attending this Delaware State Samboree.

Signature __________________________________________________________________________

Will Be Returned If Not Signed

$5.00 Fee for Cancelations

　 Office Use Only Show_______ Mail_______ Chapter______ Dir______ Assoc_______

Children’s Names	Ages	Children’s Names	Ages

Name: ________________________________________ Good Sam #____________________________ Exp. Date___________

Address:_________________________________________ City________________________ State______ Zip:____________

# In Rig: Adults_____ Children_________ Phone No. ____________________________ Email _________________________

Handicap Parking (Handicap Tag or Mirror Tag Required) Yes _____ 1st Time Attending A Samboree Y N____________

Park With Chapter (Chapter ’s Name) _________________________________________ Arrival Time ________________

Children’s Names Ages Children’s Names Ages

______ Early Bird Night Thursday @ $30.00 Pre-Registered / Or At Gate ………………………….. $ ___________

______ Samboree Fee ($90.00 Family/ $80.00 Single Pre-Registered: $95.00/$85.00 Late or At Gate.. $____________

______ Extra Adults@ $ 12.50 each ………………………………....................................................... $ ____________

______ Catered Dinner Saturday Night $14.50 Each ………………………………........................... $ ____________

______ Kids Catered Dinner Saturday Night (3-10 yr old only ) $ 8.00 Each ……………………....... $ ____________

______ Tour (Bus Transportation To & From John Dickinson Plantation ) $3.00 Each ..…....…......... $ ____________

______ Craft Show / Flea Market Table $5.00 Each ………………………………................................. $ ____________

______ Day Visitor $ 7.50 Each per Day From 8:00 AM Until 5:00 PM…..........…............................. $ ____________