Sign up for Dinner Club

General Information

🌿 Tell Us a Little About Yourself 🌿
If registering as a couple, please complete a separate sign-up form for each person using different email addresses.

First Name *

Last Name *

Email *

Date of Birth *

Marital Status

Anniversary Date

Cell Phone *

Home Phone

Address

Street Address

City

State

Country

Postal Code

Name one favorite food?

(No guarantee it will be served!)

Name one food you despise.

(No guarantee it won’t be served!)

Do you have any Food Related Allegies?

Yes

No

Identify Any Food Related Allergies

Alcoholic Beverages *

I will not be bringing any alcoholic beverages onto the property at Overton Farm.

I understand that alcohol will NOT be served by the Dinner Club at Overton Farm; however, I may elect to bring wine, or comparable alcoholic beverage, to consume with my dinner. I understand I will be required to execute as a part of my membership agreement an indemnification or “hold harmless” agreement.

Applicant Signature

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