Newmar Kountry Klub

HomeRegular & Fulltimer Forms

Regular & Fulltimer Forms

There are two forms…

Klub Number
Member Name 1*
First Last
Member Name 2
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Type of Unit*
Length of Unit*
Do you need Handicap Space?*
Do you have a Handicap Lift Unit?
Comments:
Terms of Service*
Rally Disclaimer:
I agree, in consideration for being able to participate in the described Newmar Kountry Klub activity, to release and to indemnify and hold harmless Newmar Kountry Klub, its Directors and Officers and Newmar Corporation, its officers and employees, from all liability for injury or damages to my person or property, or the property of persons who accompany me to this activity. I also agree that any photos taken can be used for Kountry Klub purposes.

Rally or Special Event attendees will abide by National, State and local guidelines of any emergency event.

I understand and agree to the Klub cancellation Policy for Rallies, Caravans, and Special Events.

With knowledge of the type of risk or harm which might occur at such activity, I sign this release and indemnity as part of my application.

All adult members & their guests must sign and in so doing, assume all responsibility for minors in their care.
- I/We agree to the Terms of Service

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Additional/Guest Names

(to add more names, simply click the "+" at the right to add more fields for names)

Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date you reservered your site?*
MM slash DD slash YYYY
Arrival Date*
MM slash DD slash YYYY
Site Number
Emergency Contact - Name/Relationship
Phone*
Diet / Allergy Restricitons?
Handicapped?*
- Yes
- No
Handicap Explanation
First Newmar Kountry Klub Rally?
- Yes
- No
First NKK Fulltimers Chapter Rally?
- Yes
- No
Are you attending NKK International Rally?
- Yes
- No
Will you be caravanning with the Fulltimers?
- Yes
- No
Terms of Service*
All persons attending a Klub Rally must agree to this disclaimer in order to participate. I/We agree, in consideration for being able to participate in this Newmar Kountry Klub activity, to release and to indemnify and hold harmless Newmar Kountry Klub and Newmar Corporation, its directors, officers, members, and employees, from all liability for injury or damages to my person or property, or the person or property of persons who accompany me to this activity. With knowledge of the type of risk or harm, which might occur at such activity, I sign this release and indemnity as part of my application. All adult members and their guests must sign and in so doing, assume responsibility for minors in their care. I also agree that any photos taken can be used for Newmar Kountry Klub purposes.

Cancellation Policy: I understand and agree to the Cancellation Policy for rallies, caravans and Special Events.
- I/We agree to the Terms of Service

Δ

Newmar Kountry Klub
PO Box 30
355 N Delaware Street
Nappanee, IN 46550

Hours: 8:30am-4:00pm M-F

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