HOLT FAMILY REUNION 2015 REGISTRATION FORM

Please TYPE or PRINT names clearly for proper credit of your payment. Be sure to list childrens names
and ages. There will be NO ON-SITE REGISTRATION. You must send payment by mail. The postmark on
your mailing envelope must be on or before the payment deadline of May 31st. Otherwise, your reunion
materials may not be available at check in. Mail registration form with your payment or submit via e-mail.
PLEASE NOTE: Registration is confirmed when check or money order is received.
Registration CHECKS/SCHOLARSHIP DONATIONS/MONEYORDERS Payable To: HOLT FAMILY REUNION LEGACY
MAILINGADDRESS: Holt Family Reunion Committee
c/o Jennifer Johnson-Donald, 2038 Lambert Lane,
Tallahassee, FL. 32317

DATE OF ARRIVAL

Lastname

Cell Phone:
Home Phone:
E-mail:

Firstname

Other Registrants
Last name

Firstname

Last name

Firstname

Last name

Firstname

Family Branch (select one):

Hester Holt Anderson and Alonzo Anderson
Mariah Holt Bradwell and Wiley Bradwell
Jack and Julia Holt
James and Julia Holt
Other

Lou Holt
Thomas and Margaret Holt
Wiley and Annie Holt
Annie Holt Scott and Charlie Scott

Will you have a vehicle to attend local events? ___YES ___N0

What date do you plan to arrive? ___Thurs, 7/9 ___Friday, 7/10 ___Saturday, 7/11
Will you be enclosing a donation to the Holt Family Scholarship Fund? ___YES ___NO ___AT THE REUNION

Number
Attending

Early Bird Registration

Regular Registration

Late Registration

Postmarked
by January 31, 2015

Postmarked
by May 31, 2015

Postmarked
after May 31, 2015

Total

Adults

x $85.00=

x $90.00=

x $95.00=

Children: 4 12 yrs

x $35.00=

x $40.00 =

x $45.00 =

Children: 0 3 yrs

x $0.00 =

x $ 0.00 =

x $ 0.00 =

Holt Family
Scholarship
Donation

TOTAL

Early Bird Registration - payment received before January 31, 2015 is $85.
Regular Registration payment received by May 31, 2015 is $90.
Late Registration payment is $95 (based on availability).
Registration includes One T-Shirt, One Reunion Bag, Meet and Greet Fish Fry, Saturday Cookout, and Family Banquet.
***NOTE: Cost does not include 2XL-4XL shirt sizes

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HOLT FAMILY REUNION T-SHIRT ORDER FORM

(Please complete form in its entirety and mail back along with your Registration Form)

Last name:

First name:

Address:

Apt #:

City:

State:

E-mail:

Zip code:
Phone:

Shirt Price is included with registration unless shirt size is 2XL to 4XL.
(See prices below for 2XL to 4XL)
SIZE

Adult 2XL $9.00 each; 3XL $10.00 ea.ch; 4XL $11.00 each
PRICE
QUANTITY

Youth XS (2-4)

$ 0.00

Youth S (6-8)

$ 0.00

Youth M (10-12)

$ 0.00

Youth L (14-16)

$ 0.00

Adult S

$ 0.00

Adult M

$ 0.00

Adult L

$ 0.00

Adult XL

$ 0.00

Adult 2XL

$ 9.00

Adult 3XL

$ 10.00

Adult 4XL

$ 11.00

TOTAL

Grand Total
of Shirt Order
T-SHIRT FORM MUST BE RETURNED BY MAY 31,2015
Attn: Holt Family Reunion Committee
c/o Mrs. Jennifer Johnson-Donald
2038 Lambert Lane
Tallahassee, Florida 32317
PHOTOGRAPHS
The Portrait Packages that will be offered are as follows:
PACKAGE A
(2) 5X7
(8) Wallets

$25

PACKAGE B $30
(1) 8x10
(2) 5x7
(8) Wallets

PACKAGE C $45
(2) 8x10
(4) 5x7
(8) Wallets

(1) 8x10 Family Group Portrait

$20

**Please indicate if you will be ordering photographs so that Angela and James Ward can plan accordingly.
___ Yes, we will be ordering pictures

___ No, we will not be ordering pictures

___ Undecided

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HOLT FAMILY REUNION BLOOD LINE INFORMATION FORM

(Please complete form in its entirety and mail back along with your Registration Form)
1.

Are you a Holt Descendant? Yes ___

No ___

2.

Your Name___________________________________________________ Date of Birth ______________________

3.

Your Spouses Name (If applicable) __________________________________________Date of Birth ____________________

4.

Your Fathers Name _______________________________________________________

5.

Your Mothers Name______________________________________________________

6.

Your Grandfathers Name_________________________________________________

7.

Your Grandmothers Name_______________________________________________

8.

Your Childrens Names:

Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)

9. Your Grandchildrens Names (Please indicate from which child)

Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
10. Your Great-Grandchildrens Names (Please indicate from which child)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Spouses Name (If applicable)
Please indicate any important accomplishments of any of your family members over the past two years, (anniversaries,
engagements, graduations, military awards, educational achievements, certifications, promotions, etc). Please use the back
of this sheet and be sure to mail or email pictures to donald.jennifer@gmail.com. Thank you!
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