Pacific Primitive Rendezvous 2008
        Pre-registration Deadline - POSTMARKED no later than May 13, 2008
       This is a pre-1840 rendezvous, you are required to dress accordingly.

Legal Name ____________________________________________________________________

Address ____________________________________  E-mail __________________________

City ________________________________  State/Pro __________  Zip ______________

Phone (_____)______________________

Emergency Contact Person ______________________________________________________
City ________________________________  State/Pro __________  Zip ______________
Phone (_____)______________________

     Number of Adults in Camp** ___________  @  $45.00 =  _______________
     Number of Children (13-17) ___________  @  $10.00 =  _______________
     Number of Children  (to 12) ___________  (no Charge)

                ** Maximum Fee for a family is  $80.00    _______________
                ** Maximum Fee for a couple is  $65.00    _______________

Additional Fees:

     Number of Horses           ___________  @  $25.00 =  _______________
     Full Trader                ___________  @  $40.00 =  _______________
     Blanket Trader             ___________  @  $15.00 =  _______________
     Additional Medallions      ___________  @  $10.00 =  _______________

                                          Total enclosed  _______________

Mountain Name _________________________________________________________________

Primary Vehicle info: Year ________  Make ________________ Model ______________
                      Color _______  License # ___________ State/Pro __________

I have Medical experience (indicate) __________________________________________
I will help on the medical staff _____
I will help with: Parking ____,  Gate ____,  Fire Watch ____,  Dog Soldier ____
I would like to put on a seminar, (type) ______________________________________

I would like to camp in the:
         Main Primitive Camp ____,  Horse Camp ____,  Short Stay ____,  RV ____

 The Pacific Primitive Rendezvous is not affiliated with the NMLRA in any way.
               We reserve the right to refuse entry to anyone.

I acknowledge that I/we have joined the Pacific Primitive rendezvous.  I
acknowledge that there may be hazards involved and I acknowledge personal 
responsibility for myself and my family.  By my signature, I agree to abide by
all rules of the Pacific Primitive Rendezvous.

Signature (legal name) ____________________________________  Date _____________

Make checks payable to: Pacific Primitive Rendezvous 2008 and send to:    P.P.R. 2008 - Richard Sherk
                                                                          PO Box 913
                                                                          Glendale, OR 97442