Sign Up Please enable JavaScript in your browser to complete this form.Name of Trip *Which trip are you signing up for?Guest #1 *FirstLastGuest #2FirstLastEmail Address #1 *Email Address #2 (optional)if overnight, I will room with...Non-Spouse RoommateOrganization Name (if Applicable)Address (Street Name, City, State, Zip)Cell Phone NumberHome Phone NumberEmergency Contact NameEmergency Contact Phone NumberSpecial Message/Dietary Request, etc.Following is our disclaimer. By signing and sending in the form, you will agree to the following: I (we) waive any claim against tour coordinators, Weekend Get-Aways on a Tank of Gas, LLC or Scottie Davis for any damage to or loss of property or injury to or death of persons due to any act of negligence by any bus, hotel, or other persons rendering any of the services and accommodations on this trip. The tour coordinators, Weekend Get-Aways on a Tank of Gas, LLC and Scottie Davis shall not be responsible for any delays, substitution of equipment or itinerary or any act of omission whatsoever by the carrier, its agents, servants, and employees. Participants and travelers hereby waive any claim(s) arising there from. The receipt of full payment by any participant indicates acceptance of these terms and conditions. Full payment is needed to reserve space on a trip. No refunds will be given after the deadline date unless you find someone to take your place. In the event the trip is cancelled, all monies paid by participants will be refunded immediately. *I agree.WebsiteSubmit Pay by clicking here.
