REGISTRATION FORM
Contact Information
Name:
Address:
City, State Zip
Telephone Number:
Email Address:
Father?’s Name & Birthday:
Mother?’s Name & Birthday:
T-shirt Information
Shirt Size Amount Amount Enclosed
The changes in my family history are: (Please includes births, marriages, and deaths)
My high school or college graduates are:
Honor students in my family are:
Please indicate which activities you plan to participate in:
YES NO
Meet and Greet (included) ?? ??
Riverboat Ride (included) ?? ??
Dinner Buffet (included) ?? ??
Hairston?’s Night Club (additional) ?? ??
Worship Service ?? ??
Number Registered ___________
Amount Enclosed ___________
Please include any photos that you would like displayed at the reunion. I realize that they might not be returned.
Mail to: Sandi Holly Starr
2560 Wild Spring Court
Decatur, GA 30034