Registration Form

Last Name
First Name
Class of
If you are Faculty, what department?
Email Address
Mailing Address
Phone Number(s)
Is any of this contact info new?
Additional Guest Names and Class Yrs.
Class of 2015 (# attending)
x $15 =
Young Alumni Cl 2005-2014 (# attending)
x $25 =
# of Standard Adult & Children 12 & up
x $35 =
Number of Children Ages 3-11
x $15 =
Number of Children Ages < 3
x $0 =
TOTAL TO BE PAID:
Food Allergies or Restrictions?
HIT REGISTER, THEN HIT EXIT CONFIRMATION