Registration Form

Registration Form

Please fill out the following information sheet and return it to the planning committee ASAP. We would like to have information returned by May 25, 2010.

NAME: _______________________________________________________________________

ADDRESS: ____________________________________________________________________

PHONE: ________________________________ EMAIL ________________________________

SPOUSE: _____________________________________________________________________

CHILDREN: ___________________________________________________________________

WHAT HAVE YOU BEEN UP TO: ____________________________________________________

____________________________________________________________________________

To help with planning, reservations, food, and other expenses we need to ask you fill out the following information please. We especially need for the head count. Kim Resa is also going to make buttons with senior pictures on them!

Planning to attend:

Friday night cook-out Number _________ Donation ___________

Saturday breakfast Number _________ Pay for your own

Saturday golf (fee $25, carts $18) Number _________ Pay for your own

Saturday swimming ($2 per person) Number _________ Pay for your own

Saturday 1:30 tour of FKHS Number _________ No cost

Checking into cost of skating or bowling

Saturday night dinner/dance Number _________ $65 per couple

$35 single

I would like to make a donation to help with reunion ___________________

TOTAL ENCLOSED _________________________

Please mail form and check to:

Please make checks made out to "Class of 1980 Reunion"

Chris Jackson

PO Box 272

Coffeyville, KS 67337