REGISTRATION FORM

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                               Warren Central High School
                                                   Class of 1990 - 20 Year Reunion
                                                            ~Registration Form~

Reunion Date:    June 11 & 12, 2010
Registration Deadline:    April 30, 2010
For more information see our class website:   www.wchs1990.com


Mail payment to:    WCHS Class of 1990
                              PO Box 332
                              Vicksburg, MS 39180

Cost (check one):   All Events:                 ___ $145/ Couple    or      ___ $80/ Classmate

                    Friday Meet & Greet ONLY    ___ $ 25/ Couple     or      ___ $15/ Classmate

                              Sat. Picnic ONLY         ___    50/ Couple     or      ___  30/ Classmate

                              Sat. Banquet ONLY    ___    90/ Couple     or      ___  50/ Classmate

                               

 Check or Money Orders only, make payable to “WCHS Class of 1990”

Please Complete:

Classmate’s name:    _________________________________________________________

Guest’s name:        _________________________________________________________

Guest’s relationship:    __________________    Phone No: (_____) _________________

Address:    _______________________________________ State:______ Zip:_________

Email address:    ________________________________ @______________________.______

Number of children attending picnic: _____ (Note: no additional charge)
    Children’s first name(s) & age(s), continue on back if necessary:        
        
    ____________________ Age___       ___________________ Age___

    ____________________ Age___       ___________________ Age___