Sample registration Dore Family 2018 Reunion 1. Name* First Last 2. Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email 3. Which Family branch do you belong to:* Alec and Simone Dore Alphonse and Lea Dore Arthur and Therese Dore Cecile and John Herkel Charles and Flora Dore Desneige and Florant Savard Emile and Florence Dore Eva and Oscar Beaulieu Jeanne and Albert Poirer Mary and Archie Baker Ovila and Annette Dore Rose and Lucien Lafond Willie and Adrience Dore Where will you be staying* With Relatives Hotel/motel Camper or RV Tenting Other 5. If you are tenting or have an RV/Camper please describe the size of the RV or Tent so we can make appropriate arrangements.6. If you are staying in a RV or tenting do you want to be in a family group or Common area? Family group Common Camp area Does not matter Choice Will you need an Electrical outlet?* No Yes Would be nice but not a priority There is a limited supply of RV/Camper spots with electrical outlets. They will be reserved for those with medical needs or other requirements.7. Registration and paymentAdult (19 and Over) Quantity Price: $ 35.00 CAD Quantity Youth (6 to 18) * 5 and under is free Quantity Price: $ 15.00 CAD Quantity Total $ 0.00 CAD 8. Please list the first and last names of all of the people you are registering so we can have an accurate list. For Children and youth also list ages*First nameLast nameAge of child or youth Press the plus sign on right of form to bring up room for another person.9. Feel free to add any other information or commentsOnce you hit SUBMIT your registration will be available to the Dore Reunion team. Complete registration by making payment using e-mail transfer at dorereunion18@gmail.com. To to make it simpler for Irene, keep the security question simple eg. (What is happening on Aug. 3, 4, 5 and 6th?) Call or text her for any details or to discuss the security question. +1 (306) 468-7934 Δ