|
Quantity |
Price |
SECTION I: PERSONAL INFORMATION |
Name: |
| First Name
|
| Nickname
|
| Middle Initial
|
| Undergraduate Last Name
|
| Current Last Name (if different)
|
Address Information
If your address has changed recently, please click here to update your online directory listing. |
| Telephone: |
| Home
|
| Work
|
| GUEST/SPOUSE/PARTNER/CHILD INFORMATION |
|
Guest 1 |
| First
|
| Last
|
| Relationship
|
| Child’s Birthdate (MM/DD/YYYY)
|
Teen Scene and Children’s Program
Please indicate if this guest will participate in Teen Scene or the Children’s Program. Please note: You must also select the appropriate program in the Optional Selections section below. If your child is age 3 or over you must also register her/him for a Teen or Children’s package 1 or 3. |
| Optional Program:
|
|
|
Guest 2 |
| First
|
| Last
|
| Relationship
|
| Child’s Birthdate (MM/DD/YYYY)
|
Teen Scene and Children’s Program
Please indicate if this guest will participate in Teen Scene or the Children’s Program. Please note: You must also select the appropriate program in the Optional Selections section below. If your child is age 3 or over you must also register her/him for a Teen or Children’s package 1 or 3. |
| Optional Program:
|
|
|
Guest 3 |
| First
|
| Last
|
| Relationship
|
| Child’s Birthdate (MM/DD/YYYY)
|
Teen Scene and Children’s Program
Please indicate if this guest will participate in Teen Scene or the Children’s Program. Please note: You must also select the appropriate program in the Optional Selections section below. If your child is age 3 or over you must also register her/him for a Teen or Children’s package 1 or 3. |
| Optional Program:
|
|
|
Guest 4 |
| First
|
| Last
|
| Relationship
|
| Child’s Birthdate (MM/DD/YYYY)
|
Teen Scene and Children’s Program
Please indicate if this guest will participate in Teen Scene or the Children’s Program. Please note: You must also select the appropriate program in the Optional Selections section below. If your child is age 3 or over you must also register her/him for a Teen or Children’s package 1 or 3. |
| Optional Program:
|
|
|
Additional Guest(s)
If you have more than four guests, please enter their name(s), relationship(s), and Children’s program or Teen Scene information here.
|
| Emergency Contact Information |
|
| Name
|
| Relationship
|
| Telephone
|
Special Needs
Please alert us to any physical/medical conditions you or your guest(s) may have.
|
Dietary Restrictions
(vegetarian, vegan, etc.)
|
| Housing & Rooming Request |
Please indicate your housing needs and rooming requests below. If you need housing, you must register for overnights under Optional Selections.
Rooming requests cannot be guaranteed but your room chairs will do their best to accommodate requests. Requests for single rooms are not guaranteed.
Children’s Housing Options: Children are housed with their parent(s). You may reserve a bed for your child(ren) under Optional Selections or you may bring your own bedding to save on extra expenses.
|
Rooming Request:
I do not need housing
spouse/partner/guest/family
classmate
single requested
|
|
| Classmate:
|
Package I: Includes programming Friday-Sunday, *class booklet, *parade accessory, Saturday picnic, Saturday social and dinner, class fees, and Association registration fee.
Package II: Includes Saturday morning and afternoon programming, *class booklet, *parade accessory, Saturday picnic, and prorated class and Association registration fees.
Package III: Includes Saturday afternoon and evening programming, *class booklet, Saturday social hour and dinner, and prorated class and Association registration fees.
*alumna only (if applicable)
Please Note: Packages do not include housing. Please register for housing under optional selections.
Please indicate your package selections for yourself and any guest(s) below. |
Indicate number of adult guests: |
Indicate the number of teen(s) (aged 13-17): |
| Teen Package 1 |
|
$ 62.00 |
| Teen Package 2 |
|
$ 22.00 |
| Teen Package 3 |
|
$ 40.00 |
Indicate the number of child(ren) (aged 3-12): |
| Child Package 1 |
|
$ 27.00 |
| Child Package 2 |
|
$ 9.00 |
| Child Package 3 |
|
$ 18.00 |
|
| Thursday Overnight (no breakfast) |
|
$ 28.00 |
| Friday Lunch with President Creighton |
|
No Charge |
| Friday Bed & Breakfast |
|
$ 37.00 |
| Saturday Bed & Breakfast |
|
$ 37.00 |
| Sunday Brunch at Willits-Hallowell |
|
$ 16.00 |
| Child’s Sunday Brunch |
|
$ 9.00 |
Children’s Program
(available only with Child Package 1 or 3) |
|
$ 40.00 |
Teen Scene Program
(available only with Teen Package 1 or 3) |
|
$ 20.00 |
| Late fee (after April 21, 2006) |
|
$ 25.00 |
| For office use only:
|
| Running Total $ |
|
|
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