Registration

Please help us keep our records up to date.

Name___________________________________________________________________
Address_________________________________________________________________
City___________________________ State_________ Postal code_______________
Country_____________________________ New address?
___Yes
___No
Phone_________________________ Email___________________________________
Facebook_________________________________________________________________
Family member information
Name
Birthday

Relation to Ms. Nell

Attending reunion
Y/N
1.____________________________________________________________________________
2.____________________________________________________________________________
3.____________________________________________________________________________
4.____________________________________________________________________________
5.____________________________________________________________________________
6.____________________________________________________________________________
7.____________________________________________________________________________
8. ____________________________________________________________________________
Do you have names and addresses of families we might be missing?
1. _____________________________________________________________________
2. _____________________________________________________________________
3. _____________________________________________________________________
4. _____________________________________________________________________
Committees
Please indicate which reunion committee you would be willing to serve on.
______ Welcome ______ Finance
______ Decorating
______ First Aid ______ Games
______ Talent
______ Memorial ______ Directory ______ Clean-up

______ Music
______ Food
______ Awards ______ Photos
______ Guest book ______ Other

Would you be willing to help in planning a future reunion? ___Yes

___No ___Depends

Would you be interested in a family cookbook? ___Yes ___No ___Depends

Would you be interested in a family newsletter? ___Yes ___No ___Depends

Finances

Please be sure to complete this entire form and return it with your
Registration Dues and T-Shirt Order Form.
T-shirts are included with all Paid Registrations, we just need to know your size.

Registration Fee
Adult

Youth
(8-18)

Name and Age

(As of May 1, 2016)

$100

$65

Senio
r
(62+)
$75

T-Shirt

Child
(0-7)
Free

Youth
Sizes

S, M, L

Adult
Sizes
S,M, L, XL,
1X,
2X, 3X, 4X

Price
Amount

$15

1
2
3
4
5
8
Total Amount:
Deadline to Register is: January 1, 2016

Enter details of where to mail the form