DEFENDER DAYS

Online Registration

Contact Information

ID number:
(above your name on mailing label)
First Name:
*
Last Name:
*
Email Address:
*
Address Line 1:
*
Address Line 2:
City:
*
State:
*
Zip/Postal Code:
*
Country:
*

Adult Guests Attending

If the contact person provided above is attending events, enter their information in this section too.

First Name Last Name Maiden Name (alumni only) Alumni Class Year City State Relation
Business Connections Breakfast Class of 1989-92 Reunion
Defender Nation Dinner - $10.00 President's Brunch
Goheen Gallop - $20.00
T-shirt Size:
Gender: Male Female
Age:
Play in Alumni Basketball Game
T-shirt Size:
Email:
Years played at Dordt (e.g. 1995-97):
Play vs JV or Varsity: JV Varsity
Play in Alumni Volleyball Game
T-shirt Size:
Email:
Year you graduated:
Will you eat pizza?: Yes No
Number of immediate family members planning to eat pizza:
Participate in Alumni Volleyball Event
Will you eat pizza?: Yes No
Number of immediate family members planning to eat pizza:
Welcome Reception
Business Connections Breakfast Class of 1989-92 Reunion
Defender Nation Dinner - $10.00 President's Brunch
Goheen Gallop - $20.00
T-shirt Size:
Gender: Male Female
Age:
Play in Alumni Basketball Game
T-shirt Size:
Email:
Years played at Dordt (e.g. 1995-97):
Play vs JV or Varsity: JV Varsity
Play in Alumni Volleyball Game
T-shirt Size:
Email:
Year you graduated:
Will you eat pizza?: Yes No
Number of immediate family members planning to eat pizza:
Participate in Alumni Volleyball Event
Will you eat pizza?: Yes No
Number of immediate family members planning to eat pizza:
Welcome Reception
Business Connections Breakfast Class of 1989-92 Reunion
Defender Nation Dinner - $10.00 President's Brunch
Goheen Gallop - $20.00
T-shirt Size:
Gender: Male Female
Age:
Play in Alumni Basketball Game
T-shirt Size:
Email:
Years played at Dordt (e.g. 1995-97):
Play vs JV or Varsity: JV Varsity
Play in Alumni Volleyball Game
T-shirt Size:
Email:
Year you graduated:
Will you eat pizza?: Yes No
Number of immediate family members planning to eat pizza:
Participate in Alumni Volleyball Event
Will you eat pizza?: Yes No
Number of immediate family members planning to eat pizza:
Welcome Reception
Business Connections Breakfast Class of 1989-92 Reunion
Defender Nation Dinner - $10.00 President's Brunch
Goheen Gallop - $20.00
T-shirt Size:
Gender: Male Female
Age:
Play in Alumni Basketball Game
T-shirt Size:
Email:
Years played at Dordt (e.g. 1995-97):
Play vs JV or Varsity: JV Varsity
Play in Alumni Volleyball Game
T-shirt Size:
Email:
Year you graduated:
Will you eat pizza?: Yes No
Number of immediate family members planning to eat pizza:
Participate in Alumni Volleyball Event
Will you eat pizza?: Yes No
Number of immediate family members planning to eat pizza:
Welcome Reception
Business Connections Breakfast Class of 1989-92 Reunion
Defender Nation Dinner - $10.00 President's Brunch
Goheen Gallop - $20.00
T-shirt Size:
Gender: Male Female
Age:
Play in Alumni Basketball Game
T-shirt Size:
Email:
Years played at Dordt (e.g. 1995-97):
Play vs JV or Varsity: JV Varsity
Play in Alumni Volleyball Game
T-shirt Size:
Email:
Year you graduated:
Will you eat pizza?: Yes No
Number of immediate family members planning to eat pizza:
Participate in Alumni Volleyball Event
Will you eat pizza?: Yes No
Number of immediate family members planning to eat pizza:
Welcome Reception

K-12 Guests Attending

First Name Last Name City State
Student Brunch Goheen Gallop - $20.00
T-shirt Size:
Gender: Male Female
Age:
Student Brunch Goheen Gallop - $20.00
T-shirt Size:
Gender: Male Female
Age:
Student Brunch Goheen Gallop - $20.00
T-shirt Size:
Gender: Male Female
Age:
Student Brunch Goheen Gallop - $20.00
T-shirt Size:
Gender: Male Female
Age:
Student Brunch Goheen Gallop - $20.00
T-shirt Size:
Gender: Male Female
Age:

Total Price

Box office for The Adventures of Tom Sawyer opens Sept. 22 online at http://dordttickets.com. Tickets are $8 for adults, $5 for non-Dordt students, or $1 for Dordt students with I.D. Online payment and E-tickets available.

By submitting this form, I give permission to Dordt College to take and use photos, videos, and audio recordings of the participant(s) for educational, advertising and promotional materials unless I contact the public relations office at public-relations@dordt.edu to specifically opt out.