Bluegrass Dive Club
Lexington, Kentucky

Lake Cumberland - 2006 Trip Sign-Up Page

Please submit ONE form per each individual traveler.
If changes are required, please submit a
NEW form and
check the
Revision or Cancellation block below

Trip:
Form Status:   Original     Revision    Cancel My Reservation

Traveler Information

Name:
Home Phone: Include Area Code
Home Address:
City:       State:     Zip:
E-Mail Address:

Sleeping Arrangement Information

This is a camping trip - please bring your own personal gear (tents, sleeping bags, etc.) or make arrangements to stay in nearby motels.

I plan to:

  Camp Out      Get a Motel Room

Travel Information

Transportation is by personal vehicle.  Please indicate if you will be driving, wanting to share a ride or if you have additional room in your vehicle and are willing to take someone.

Transportation:

Dive Information

Are You Planning to Dive:   YES      NO

Additional Information

Comments:
or Additional Information:
Submit Form:     
Please be patient - Form may take a short time to process - You will see a confirmation page when complete.  You may want to print this page for your records.

Important: After submitting your reservation, please return to the Lake Cumberland trip information page to select the "Dive Trip Waiver" form button.  Please print out or copy one form per person, fill out and return to the club.

 

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Copyright © 1999 Bluegrass Dive Club
This Page was last modified 07/23/07