24th Annual Fishin' Galore May 5, 2018
Dream Day Foundation

Patient Registration for 2018 Annual Fishin’ Galore - Dream Day Foundation

  •   Yes
  •   Yes
  • If patient is under 18, then a legal parent or guardian MUST complete the registration form.

  •   Male
  • T-Shirts are complimentary for each Patient and will be mailed prior to the event. We graciously ask that only patients wear patient shirts on the day of the event in order for the volunteers to give special attention to the patients! Thank you.

  • Family attendance is a maximum of 7, in addition to the patient. Please do not list the patient name below.

    List each family member's name individually below if planning to attend, including parent/guardian names.

  • Complimentary hotel accommodations will be provided to families that live outside a 40 mile radius of Baton Rouge or Clinton, LA. All hotel reservations are handled through Dream Day Foundation!! Reservation must be complete by Sunday, April 15, 2018. Up to 2 nights will be provided by Dream Day Foundation.

    To all patients reserving a hotel: the hotel requires a credit card on file upon check in. The hotel holds $40 a day for incidentals, which is released upon check out. We do NOT need your credit card info at this time.

    Cancellations and incidentals of the hotel are the responsibility of the patient’s family.

  •   Yes
  • Patient + up to 3 immediate family members = 1 ROOM
    Patient + 4 to 7 immediate family members = 2 ROOMS

  • How many people need transportation from the Mariott to Clinton? Limit is 4 per family, including patient. Seating is limited to the first 160 registered bus riders.

  •   Yes, I will be providing my own transportation and would like to follow the motorcade from the Mariott to Clinton.
  •   Yes, I would like to receive your newsletter and occasional announcements.

  • Yes, I do hereby hold and save harmless, Dream Day Foundation, its officers, directors, employees, and agents, from any and all liability of any nature or kind from any claim, demand, action, suit and otherwise of any type whatsoever, directly or indirectly including cost or expenses for or on account of any and all damages or injuries which may be sustained by myself and/or property resulting from my association with Dream Day Foundation, including, but not limited to, riding, working, or being on the grounds and property of the Three Bar E Ranch Fishin’ Galore and taking any action at the request of Dream Day Foundation its officers, directors, employees and agents.

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