2015 ELVIRA FAMILY 31th REUNION

July31- August 2, 2015

 REGISTRATION FORM

 

NAME ________________________________________________________________________

 

ADDRESS _____________________________________________________________________

 

CITY______________________________________STATE_____________ ZIP_____________

 

PHONE (____)_______________ EMAIL_________________________FB FRIEND?_______

 

(   ) DORSEY  (   ) WHITE (   ) GREEN  (   ) MCGEE  (   ) FRIEND OF FAMILY

 

REGISTRATION FEES:                                                    

                                                                             Fees are Per Person

 

 (70 & older) - $70.00

(13-69) - $ 85.00

(4-12) - $40.00

(3 & younger) Free
 
                                                          Children 3 - Under FREE (Must be registered)
 
 
 
REGISTRATION DEADLINE: APRIL 11, 2015
 
SCHOLARSHIP DEADLINE: JUNE 1, 2015
 
T SHIRT DEADLINE: MAY 2, 2015
 
HOTEL DEADLINE: MAY 31, 2015

 

DAYS ATTENDING    (   ) Friday     (   ) Saturday     (   ) Weekend   FIRST TIME?  (   )

 

*PLEASE WRITE CLEARLY*

 

 

NAMES

(for name tags)

 

CHILD

AGE

 

 

ADULT

T-SHIRT

(CHD) XS, S, M, LG

SM, M, LG, XL, XXL, XXXL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

T-SHIRT INFO: CHD SIZES $10.00, ADT SIZES SM-XL $12.00, ADT SIZES XXL-XXXXXL $14.00

 

                                                REGISTRATION                                             T-SHIRTS

 

TOTAL AMOUNT:                 $_______________                                        $________________

 

TOTAL BALANCE:                $_______________    *                                  $________________   *

 

TOTAL ENCLOSED:              $_______________                                        $________________

 

 

 

 

Please mail completed registration forms and all monies to:

Shirby Cooper

23 White House Rd       

Hemingway, SC 29554