Register with Credit/Debit Card – 2021 National Dutch Oven Gathering

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 $30

Primary Contact Name

First

Last

Address

Street Address Street Address Line 2 City State / Province / Region / Country Postal / Zip Code

Phone

Email

Anticipated Arrival Date

Enter the names below of additional family members (same household) who will be in attendance.

Additional Family Member 1

First

Last

Additional Family Member #2 (Same Household)

First

Last

Additional Family Member #3 (Same Household)

First

Last

Additional Family Member #4 (Same Household)

First

Last

If there are more than four additional family members attending, please email their names to robin.clute@gmail.com

Emergency Contact Person

First

Last

Emergency Phone Number

Please list below the first and last name of registrants who prefer a non-magnetic name badge.

Prefers Non-Magnetic Name Badge (1)

First

Last

Prefers Non-Magnetic Name Badge (2)

First

Last

Prefers Non-Magnetic Name Badge (3)

First

Last

Prefers Non-Magnetic Name Badge (4)

First

Last

If 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"

MERCHANDISE ORDER FORM

Please 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 Shirt

Quantity

Add An Additional Size Tee Shirt

Quantity

Add An Additional Size Tee Shirt(2)

Quantity

Add An Additional Size Tee Shirt(3)

Quantity

Aprons

Select

Quantity

12" Dutch Oven Bag

Select

Quantity

Total for Registration and Merchandise

stripe

Name*

Address line 1*

City*

State*

Zip code*

Cancellation 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 robin.clute@gmail.com.