2019 Summer Gathering Registration Form
Contact name (Last, First) *
Your answer
Primary email address *
Used for invoicing and to communicate about the upcoming gathering.
Your answer
If other family members would like direct updates about the gathering, list those email address below.
Separate multiple email addresses by pressing Enter on your keyboard.
Your answer
Home address (Street, City, State, Zip) *
Your answer
Primary phone number *
xxx-xxx-xxxx
Your answer
Total number of family members attending *
Number of children attending (ages 0-18) *
Names of all attendees (include ages for children)
Put ages of children in parentheses and separate multiple attendees by pressing Enter on your keyboard.
Your answer
Check each day that your family will attend the summer gathering. *
Required
What time will you arrive on the first day you are attending (best estimate)? *
Does this apply to you?
Number attending the Thursday night potluck dinner. *
Number attending the Friday night potluck dinner. *
Saturday Night Catered Indian Dinner
How many ADULTS (ages 12 and over) will eat the catered Saturday night Indian dinner ($15/adult)? *
How many CHILDREN (ages 5-11) will eat the catered Saturday night Indian dinner ($6/child)? *
(Children ages 0-4 eat free)
Please provide any other questions or suggestions you may have.
Your answer
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