REGISTRATION FORM
     
Home Page

Reunion Itinerary

Reunion Fees

Contact Page

Guest Book Page

Registration Form

Family Picnic

 


Bethel High School Class of 82 Reunion


Reunion Registration Deadline:

Hotel Registration Deadline:
Are you staying in hotel? _________

(Please make reservations directly with hotel. Hotel is separate from Registration Fee. Ask for discounted rate for Bethel HS Class of 82.

Registrant: (Please type or print)


____________________________________________________
Last, First, MI

____________________________________________________
(Name as you wish to appear on class roster & name badge)

____________________________________________________
Address

____________________________________________________
City State/Zip

____________________________________________________
[Area Code] Telephone Number (e-mail)

____________________________________________________
Spouse or Guest (Print as you wish name to appear on badge)


Registration Fees for Adults Only:

Single .00
Couple .00

Fee Includes:

Please indicate your T-Shirt size:
S M L XL XXL

Please indicate your Guest T-Shirt size:
S M L XL XXL

Please be advised that ALL events are ADULTS ONLY except the Family Picnic

Additional Fees for Family Picnic:

Children 11 above .00 per child
Children 6-10 .00 per child
Children 0-5

Total Payment Enclosed
(Please make Check/Money Order payable to BHS 1982 Reunion) Mail to:
JaVonda Kelley
P.O. Box 25070
Washington, DC 20007-5070

(CLICK INSIDE THE DOCUMENT BEFORE YOU PRINT)