Gather 2001 Registration Form

Please print this page, then fill in the blanks, specifying your name/email as you'd like it to appear on your nametag. Then mail it, along with $65 for each gatheree, to the Finance Minister:

You can make the checks out to "GPNDG". Thanks!

 

Gatheree #1


Name: ____________________________

Email: _____________________________

Vegetarian?:   Yes   No

Vehicle type: ______________________

Expected arrival:   Thurs   Fri   Sat

Emergency Contact:   (____) ____________

Contact's name: ________________________
 


Gatheree #2


Name: ____________________________

Email: _____________________________

Vegetarian?:   Yes   No

Vehicle type: ______________________

Expected arrival:   Thurs   Fri   Sat

Emergency Contact:   (____) ____________

Contact's name: ________________________