2017 Kentucky Derby “BIG” Adventure
This a four day three nights stay in Beautiful Louisville Kentucky
Tour Dates: April 27- 30, 2017 Tour Title: Jackson MS Derby Queen’s
Full Name: ______________________________________________________________
City: _____________________ State: _________________ Zip Code: ______________
Telephone #: ( )__________________
Physical Limitations: _______________________________________________________
Please list name(s) and telephone number(s) to contact in case of an emergency:
Single occupancy: $950.00 Double Occupancy: $775.00
Payment Terms: a $250.00 deposit is due at the time of registration. The remaining balance must be paid within (90) days or by October 1, 2016.
The final date to register for the tour is July 1, 2016.
To make the registration easier, I have added a Paypal account, which means you can now use your credit card. For access please use email address: firstname.lastname@example.org . Please select friends and family option.
Check One Option: _____ I desire to have single accommodations, and pay the single accommodations cost.
Check One Option: _____ I will share accommodation’s with: ___________________________
Check one Option: _____ I require someone to share accommodations: ____________________
Tour Registration Form
Conditions and Responsibilities
This tour is under the management of C.M. Travel Services “LLC”, which have made all arrangements for accommodations and services. C. M. Travel Services “LLC”, is providing the services and accommodations:
- Transportation by motor coach from Jackson MS to Louisville KY.
- Transportation will be provided to all scheduled events.
- Three night hotel accommodations.
- Meals will be provided with all evening events and include breakfast.
- The participants waives any claim against C. M. Travel Services “LLC”, for damages to or loss of property or injury to/or due to a person due to any act or omission of any persons rendering any of the services and accommodations of this tour, due to any event, happening, misfortune, or occurrence whatsoever.
The company will not be held responsible for any delays, substitutions of equipment or any act or omission whatsoever by the carrier, its agents, servants, or employees, and the participant hereby waives any claim arising therefore. The prices quoted are based on single and double occupancy, with the cost spelled out on page (1). The company reserves the rights to decline or accept any person as a participant of the tour if the company deems that their conduct is inappropriate. Any individual may withdraw from the tour at any time; no refunds will be given unless the tour is cancelled by the C.M. Travel Services “LLC”,.
C. M. Travel Services “LLC”, recommend that all participants obtain travel insurance from your insurance agent, if applicable.
I have read the Conditions & Responsibilities paragraph on page (2) of this registration form, and agree to its terms & Conditions.
Date: _______________ Signature: ______________________________________________
Depart Jackson, MS at 5:00 a.m. location parking lot of the Luby’s restaurant.
Arrive in Louisville, KY at: 4:30 p.m.
Schedule of Events:
Thursday April 27, 2017
Dinner Boat Cruise on the Belle’ of Louisville
Depart Hotel at - 6: 00 Board boat at 6:30.
Friday April 28, 2017
Mall Trip – 10:00 a.m. until 2:00 p.m. – Provided by Blue Grass Outlet’s
Jim Bean Bourbon Tour 12:00 p.m.
Dinner Derby Playhouse
Depart hotel at 5:30
Doors open at: 6:00 until 9:30 p.m.
Saturday April 29, 2017
Churchill Downs – First Open of the Derby
Bus departs at 4:30 p.m.
Event opens at 5:00 p.m. until 10:00 p.m.