2018 Cabin Fever

Mohican State Park Lodge, Perrysville, Ohio

“Food Mascot”

February2/3, 2018

OHIO CABIN FEVER – ‘Food Mascot’–February 23, 2018

Mohican State Park Lodge, 4700 Goon Rd., Perrysville OH 44864

Early bird drawing,will be held on January 8, 2018 (one winner).

Admission by PRE-REGISTRATION ONLY. Event pin for the first 220registered. Complete this page in its entirety and mail with fees before January 20,2018. Make check or money order payable to: GWRRA of Ohio. On-line registration with credit/debit card payment can be made at

Mail to: Rudy and Linda Copeland, 5278 St Rt 29 E, Sidney, Ohio, 45365

****Please note: Former District and Region Director, current District Teams,current OhioChapter Directors, Life Members and Gold Members will be half price.****

Qty ______Registration: Former District and Region Director, Region and District Teams, Ohio Chapter Directors, Life Members and Gold Members will be half price.**** $9 per person $______

Qty: Registration – Member(No price increase)$18 per person $

Qty: Registration – Non-Member (No price increase)$27 per person$

Qty: Registration – Ages 13 to 15$10 per person$

Qty: Registration – Ages 12 and UnderFREE

Qty:Dinner Buffet,

Pasta Dinner Buffet @ $23.00 per person, Inclusive of Service Charge & Tax.

Parmesan Crusted Chicken

Italian Sausage with peppers & onions in a marinara sauce

Penne Pasta with Marinara Sauce

Alfredo Pasta Prima Vera

Vegetable Medley

Tossed Salad with Italian & Ranch Dressings

Vinaigrette Cucumber Salad

Garlic Breadsticks

Beverage (Coffee / Decaf / Iced Tea / Lemonade)

French Cream Style Cheesecake with Chocolate Drizzle & Strawberry Drizzle

for Dessert (Pre-Set on Tables with ½ chocolate & ½ strawberry)

: $23 per person$

Cabin Fever Shirts – Adult Tee Short Sleeve: Please mark quantity of each

Small ______Medium ______Large ______X-Large ______$15 each $

2XL ______3XL ______4XL ______5XL ______$18 each$

Cabin Fever Shirts – Adult Tee Short Sleeve with Pocket. Please mark quantity of each

Small ______Medium ______Large ______X-Large ______$18 each $

2XL ______3XL ______4XL ______5XL ______$21 each$

Cabin Fever Shirts – T-Shirt Long Sleeve: Please mark quantity of each

Small ______Medium ______Large ______X-Large ______$17 each $

2XL ______3XL ______4XL ______5XL ______$19 each$

Cabin Fever Shirts – Polo Short Sleeve: Please mark quantity of each

Small ______Medium ______Large ______X-Large ______$17 each $

2XL ______3XL ______4XL ______5XL ______$20 each$

Cabin Fever Sweatshirts: Please mark quantity of each

Small ______Medium ______Large ______X-Large ______$22 each $

2XL ______3XL ______4XL ______5XL ______$24 each$

No shirt orders after January 20. Limited shirts may be purchased on site

at a higher cost.Total Enclosed:$ ______

Note: No refunds without District Director prior approval. No refunds after January 21, 2018. There will be a $10 handling fee on all refunds. Event will be held regardless of weather.

Please call Mohican State Park Lodge Central Reservations, 800-282-7275. Mention Gold Wing Road Riders Association to receive the special rates of $84.00(queenor king) plus taxes.

Rates are only valid untilDecember 26 2017.

Rider GWRRA#Exp. Chapter

Address

City State Zip Phone ( )

Co-Rider/Rider GWRRA # Exp. Chapter

E Mail Address (only to be used for registration questions)

I/We do agree to conform and comply with the ideals governing this rally and I/We further agree to hold harmless GWRRA of Ohio, GWRRA, Officers or Co-sponsoring organizations or any property owner(s) for any loss or injury to self or property in which I/We may become involved by reason of participation in this rally. I/We agree to assume responsibility for any property which I/We knowingly damage. I/We have read this entire form.

Rider Signature:Date:

Co-Rider/Rider Signature: Date:

Please note: ** GWRRA of Ohio reserves the right to change or modify pricing and schedule as necessary**