SAREX '06 Registration Form
	Lake Fort Gibson -- Wagoner, Oklahoma                                     SAREX Central -- Taylor Ferry Marina and Marina Motel                                                                                    Registration Form             Name:                                                                        BCQP Status:                          Name:                                                                        BCQP Status:                        Division and Flotilla:                                                                                          Registration*:                @ $ 10.00 ea. =                      $                                                                                * inlcudes donuts and coffee Saturday and Sunday                                Saturday Lunch:           @ $ 10.00 ea. =                      $                                                                              Saturday Dinner:           @ $ 10.00 ea. =                      $                                                                                Sunday Box Lunch:       @ $ 10.00 ea. =                      $                                                       Will you be bringing a Facility for participation?     Yes  ____  No _____                  If bringing a Facility . . . . .                     Coxswain?                                                    Yes  ____  No _____               Will you need an overnight berth?                Yes  ____  No _____               Will you need a crewperson?                         Yes  ____  No _____               Will you participate in . . .                              Towing evolution competition?            Yes  ____  No _____                         Nighttime SARs?                                Yes  ____  No _____                         Log run/races?                                    Yes  ____  No _____                         Friday raft-up?                                    Yes  ____  No _____                         Saturday raft-up?                                Yes  ____  No _____               How many crew/observers can you                                accommodate on your Facility?                                                  If NOT bringing a Facility for participation . . .                       Bringing a Vessel for observation/recreation?     Yes  ____  No _____                      If bringing a Vessel . . .                              Will you need an overnight berth?             Yes  ____  No _____                   Will you participate in . . .                                Friday raft-up?                                   Yes  ____  No _____                          Saturday raft-up?                                Yes  ____  No _____                   How many extra personnel can you accommodate . . .                               Exercise observations?                                              Raft-up?                                                          If not bringing a Facility or Vessel . . .                        Do you want to ride aboard . . .                              Participating Facility?                             Yes  ____  No _____                       Observation/recreation Vessel?                Yes  ____  No _____         Do you want to work the Communications Center?       Yes  ____  No _____         Are you willing to assist in administrative functions?     Yes  ____  No _____           Please indicate any special requests or needs:                                                                                                                                                                                                                                                                                                    Please indicate any special dietary needs:                                                                                                                                                                                                                                                                                                                      Please complete this registration and mail with your check to:                              To assist your financial planning, checks will not be cashed prior to 7 June                                                 Marshall E. Bullard                                         SAREX Incident Commander                                        12710 E. 133rd Place South                                         Broken Arrow, OK 74011-7423                           Make checks payable to:           USCG AUX 16-2 8WR               Your assistance in registering before 5 June will facilitate our being able to meet your requests for special needs and matching your interests to available resources.                 Questions regarding SAREX '06 can be directed to:                     Marshall Bullard, FSO-OP 16-2 at 918-455-9713 or 918-254-5370 or  e-mail
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