LRHS Class of 1975

Reunion Registration Form

First Name_____________Last Name________________Taken Last Name______________

Address______________________________City________________State____Zip_________

Home email________________________Work email_________________________________

Home phone_______________Cell phone______________Work phone__________________

Occupation/Employment_______________________Married______Spouse name_________

Kid’s names/ages______________________________________________# coming_________

What you’ve been doing the last 30 years:

Planning to attend:

Friday night gathering (yes or no)     ____________

Picnic Sunday (yes or no) ____________________

Golf (yes or no)  __________    Cost $35 per person  - # of people ___    Golf $   __________

Dinner (yes or no) _________           Attendee  -      $25      #____

How many want steak?____  _          Spouse -          $15      #____

How many want chicken?___            Children          $13      #____              Dinner $_________

                                                                                                  Total Enclosed $_____________

Make checks payable to “LRHS Class of 75”.  Return with form by July 5^th to:

Jerry Kennedy

515 Ronald Drive

Grand Coulee WA 99133

GO BACK TO 30 on 30 Front Page               PRINT ME OUT  &  SEND ME OUT