Primary Registrant Information: First Name: Last Name: Address: Address 2: City: State: —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code: Email: Total Number of Guests on Reservation (including yourself): —Please choose an option—1 - $292 - $58 Please select choice of entree: —Please choose an option—Herb Crusted ChickenLemon Beurre Blanc Baked CodPesto Pasta Primavera Please provide guest name and choice of entree, if applicable: Guest Name: Please select choice of entree: —Please choose an option—Herb Crusted ChickenLemon Beurre Blanc Baked CodPesto Pasta Primavera Terms and Conditions Any changes or cancellations to a reservation must be submitted to the Reservations Chair by November 22, 2025. We regret that we are unable to accept cancellations after November 22; however, reservations may be transferred. If you have a question regarding a reservation or need to make changes/transfers, please contact reservations@nsdcgs.org. Thank you! I agree