Register with Credit/Debit Card Please complete the registration form below, enter the requested credit/debit card information, and click SUBMIT at the bottom of the page. The deadline for purchasing merchandise was September 16. Please do not attempt to purchase merchandise. Thank you for registering for NDOG 2021. It's going to be fun!REGISTRATION FORM Registration Fee: Single $20, Family $30Select Single or Family RegistrationSingle $20Family $30 Primary Contact NameFirstLast Address Street Address Street Address Line 2 City State / Province / Region / Country Postal / Zip Code Phone Email Anticipated Arrival DateEnter the names below of additional family members (same household) who will be in attendance. Additional Family Member 1FirstLast Additional Family Member #2 (Same Household)FirstLast Additional Family Member #3 (Same Household)FirstLast Additional Family Member #4 (Same Household)FirstLastIf there are more than four additional family members attending, please email their names to email@example.com Emergency Contact PersonFirstLast Emergency Phone NumberPlease list below the first and last name of registrants who prefer a non-magnetic name badge. Prefers Non-Magnetic Name Badge (1)FirstLast Prefers Non-Magnetic Name Badge (2)FirstLast Prefers Non-Magnetic Name Badge (3)FirstLast Prefers Non-Magnetic Name Badge (4)FirstLastIf you plan to camp at the Mineola Civic Center please provide the number of nights you plan to camp and indicate whether you will camp in an "RV" or "Tent". Planned number of nights Select "RV" or "Tent"SelectRVTentMERCHANDISE ORDER FORMPlease purchase merchandise before September 16.Tee shirts are available in sizes ranging from Small to XXXL. S - XL are $17; XXL and XXXL are $19. Aprons are one-size-fits-all and are $20. Each registrant will receive one free 12" dutch oven bag with their registration. Additional 12" dutch oven bags are $15. To purchase tee shirts, select size and number of shirts desired in that size. If an additional size shirt is desired, select size and number of shirts desired. To purchase aprons and 12" dutch oven bags, click the small circle and select number of desired. Photos of all merchandise are in the sidebar. The last day for ordering merchandise is September 15. Tee ShirtSelect sizeSmallMediumLargeXL2XL3XLQuantity Add An Additional Size Tee ShirtSelect sizeSmallMediumLargeXL2XL3XLQuantity Add An Additional Size Tee Shirt(2)Select sizeSmallMediumLargeXL2XL3XLQuantity Add An Additional Size Tee Shirt(3)Select sizeSmallMediumLargeXL2XL3XLQuantity ApronsSelectQuantity 12" Dutch Oven BagSelectQuantity Total for Registration and Merchandise stripe Name* Address line 1* City* State* Zip code*SUBMITResetCancellation Policy: Full refund of registration and merchandise through September 15, 2020. After September 15, 2020, no refund will be given.For questions or additional information, contact firstname.lastname@example.org.