* REGISTRATION *

~ REGISTRATION FORM ~

Registration Deadline: September 1, 2025

To Register, Please Complete all 3 Steps Below:

1) Complete the Online Registration Form below and click "Submit"

2) Proceed to either:

- the 'Online Payments' page to make a secure credit card payment online (including fees), OR

- the 'Other Payments' page to make your payment using Venmo or Zelle (no fees charged), or to pay by check

**NOTE: For registration to be complete, we must receive both the Registration Form & payment

3) Complete the online Memory Book Form

First Name

Last Name

Maiden Name

Email Address

Address

City/Town

State/Province

Zip Code/ Postal Code

Country

Primary Phone Number

The above number is my:

Alternate Phone Number

This alternate number is my:

I Do NOT wish to have the following printed in the Memory Book:

Address

Phone number(s)

Email address

Let us know the reunion events you plan to attend:

will attend both Friday & Saturday

will attend Saturday only

will attend Friday only

will bring a guest Friday

will bring a guest Saturday

Please let us know how you will be making your payment:

I am unable to attend Saturday night but want to order a Memory Book for $15

Yes, and I will pay online

Yes, and I will pay using Venmo or Zelle

Yes, and I will send a check

I would like to place a Business Card Ad in the Memory Book for $20

Any other information you'd like to share with us?