Memphis Central High School - Class of 1993 20th Year Reunion

PERSONAL INFORMATION

First Name:*

Maiden Name:

Last Name:*

E-Mail:*

Valid e-mail is required

Address Line*

City:*

State:*

Zip Code:*

Marital Status:

Gender:

Date of Birth:

Home Phone:

Cell or Mobile Phone:*

THE WARRIOR

Memphis Central Class of 1993 Reunion Weekend includes:
1) Registration Fee (souvenirs & scholarship MCHS 2013 graduate)
2) 93 Days of Caring: Community Service
3) You Got Game?  Game Night
4) Family Spirit Day, and (5) Prom 2.0.

Please note:  Mix and Mingle is not included in the price.
ALL 93 Warriors must pay the registration fee regardless if they are married to or partnered with a fellow 93 Warrior class member. 

Registration Fee:*

Class Member -

Registration Fee:

`93 CHS Warrior Spouse/Partner

Name of 93 Spouse/Partner

All Events*

All events -

Prom 2.0

`93 spouse/parner included in all events except Prom; Add

OTHER GUESTS

Family and friends are more than welcome to participate in the 93 Warrior Reunion Activities.  Please indicate below all guests that will accompany you.  There is any additional cost for some events and/or a limit to the number of guests you can bring befor incurring additional costs.

Mix & Mingle

Indicate Number of Guests

93 Day of Caring: Community Service

Indicate Number of Guests

Game Night

One Guest Included; Indicate number of additonal guests

Family Spirit Day

3 guests included:  Indicate number of additional guests

Prom 2.0

Indicate number of guests

Sub-Total:

PayPal Service Fee*

GRAND TOTAL:

MISCELLANEOUS ITEMS

Committee Selection(s)*

T-shirt Size*

Size for 93 Spouse/Partner

Vegetarians (include self)

Vegans (include self)

Other Special Needs:

NAME TAG(S)

`93 Warrior*

first, middle, last

Spouse/Partner

first, middle, last

Guest 2

first, middle, last

Guest 3

first, middle, last

Guest 4

first, middle, last

Guest 5

first, middle, last

PAYMENT INFORMATION

After you click the SUBMIT and the BUY NOW buttons, you will be redirected to the PAYPAL website. There will be able to make payment.  The $25 Registration Fee of $25.00 is due by FEBRUARY 15, 2013.  

You will receive a PAYPAL invoice should you elect not the make the payment in full. The remaining balance is due by MAY 15, 2013.  

Create Your Own Form
using this Template

Want the ability to collect information with an
online form that looks like this one?