Back to Travel Page   Print out a copy of these two forms, fill out, and send it in with your payment !

2009 Quilt Rush Overnight Bus Trip Reservation Form:
April 22rd & 23rd, 2009
Return this form and check made payable to Quilt Rush 2009 to:

Quilt Rush 2009 Overnight Bus Trip
Country Sewing Center  9414 Elk Grove-Florin Road  Elk Grove, CA  95624  
 
Name:.
Email and Mailing Address.

 

 

Phone.
Accommodations  (circle one price and complete as necessary)

  $195 - single/king             $140 - double/queen

Sign-up before Feb 15th, 2009 and save!
  $175 - single/king             $120 - double/queen

Check # 

*This cost is per person and includes bus trip, and accomodations.

Quilt Rush and the participating shops:
Will not be held liable for any damage, losses, accidents, or fun, fun, fun during this exciting trip.
 

Overnight Bus Trip Liability Release Form:
Please complete and mail to:
Quilt Rush 2009 Overnight Bus Trip
Country Sewing Center  9414 Elk Grove-Florin Road  Elk Grove, CA  95624  
I realize that accidents can happen while traveling and release all Quilt Rush shops of responsibility for injury. 
I realize that health and accident insurance is my responsibility.

Emergency contact information:

Name: ______________________________________________________________

Address: ____________________________________________________________

City: __________________ State: ____ Zip code: _____  Phone: (      ) ____________

List any allergies or current health conditions requiring medical treatment, medications or special restrictions:

_____________________________________________________________________________

_____________________________________________________________________________

Emergency Contact:      Name: ______________________________________________________

                                         Phone: (           ) __________________     Cell: (          ) __________________