Registration

To use the registration form, please print and send to:

Anna Schladweiler, PO Box 13, Rapelje, MT 59067

Name: ______________________________________________ Class (es) of: ____________________

Address: ____________________________________________ Phone: _________________________

City: ___________________________ State: ________ Zip Code: ____________

Email: ______________________________________________

Registration includes dinner & dance on Saturday, July 4^th

Register by 2/15/20

Number of Adults: ________ Number of Children: ________ Number of Children: ______

(13 & Older) $40.00 each (ages 3 – 12) $20.00 (under 2-free –no plate)

Register by 3/31/20

Number of Adults: ________ Number of Children: ________ Number of Children: ______

(13 & Older) $50.00 each (ages 3 – 12) $30.00 (under 2-free –no plate)

Register by 5/15/20

Number of Adults: ________ Number of Children: ________ Number of Children: ______

(13 & Older) $60.00 each (ages 3 – 12) $40.00 (under 2-free –no plate)

Adult Names: _______________________________________________________________________

Children’s Names: ___________________________________________________________________

T-Shirts: Adults S M L XL $15.00 Adults XXL $20.00 Child S M L $15.00

PTA is selling a hamburger or hot dog plate for lunch on a donation basis and need to plan accordingly for supplies. Will you be interested Y or N How Many: Adults______ Children ______

Total Amount Enclosed: ____________ Check # ___________

Please make checks payable to: Rapelje Reunion Committee

Mail to: Anna Schladweiler, PO Box 13, Rapelje, MT 59067