Homecoming Registration Form

October 15, 2016

Items marked with an * are required.

First Name:

*

Last Name:

*

Maiden Name:

Class Year:

Address 1:

*

Address 2:

City:

*

State:

*

Zip Code:

*

Phone:

*

E-Mail:

*

Number of Additional Guests:

Guest First Name(s):

I plan to attend: (check all that apply, include number attending)

50 Year Club Fall Meeting - 10:00 am, Joy Lackey Room

Alumni Celebration Reception - 11:00 am, Dr. Billy Kim International Center

Alumni Awards Luncheon - 11:30 am, Dr. Billy Kim International Center

Blazers Homecoming Game - 1:00 pm, Bowl Stadium

Other Event / Name of Other Event:

Additional comments:

Enter the numerical value of ten minus three.

Please note . . .

  • Tickets may be purchased at the events.
  • Hotel Rooms Available at the Cabot Lodge, 1-800-874-4737. * Ask for Belhaven rate ($89/per night).
  • Print this page before hitting "submit" as a copy for your records.