50th Anniversary Registration Form

Register by May 15

Contact Information

Name

Address

Home Phone

Work Phone

E-mail

Number Attending (enter number attending in each box below)

Other Arrangements Needed

• View the list of local motels if you wish to make your own arrangements.
• Child care will be provided for “up to Pre-K”.

I/we will need housing arrangements for adults and children. Fri Sat

* I/we will need childcare for (specify number & ages of young children)

I/we will need transportation from/to (specify your travel arrangements)

Please check this box if you would like to be contacted to arrange purchase of the 50th Anniversary Book.