Middleton Regional High School 60th Reunion

Registration


Registration Form
* First Name    *Last Name    Maiden Name *if applicable
* Mailing Address
* Town/City    Prov_State    Zip/Postal
  Home Phone  000-000-0000    Email
Reunion Registration Fee: $45.00 per person (before December 31, 2009)
January 1st, 2010 registration fee is $60.00 per person
(No charge for children)

If paying by cheque, please make payable to: MRHS Reunion
Mail to: Box 937, Middleton, NS B0S 1P0
Name Tag Information:
                   
Nametag #1                                          Nametag #2
(Please indicate (type) exactly how your nametag(s) should appear)
60th Reunion Questionnaire
                               Last Year Attended         Last Grade Attended
1. Attendee #1                              
Attendee #2                               (Companion, if applicable)
Teacher/Other  
2. Children under 18 attending with you?  If yes check the Box Please   (Note: Recreation Department will coordinate children's games.)
                   Child's Name                              Age                                   Child's Name                               Age
 #1  Age              #2  Age
 #3  Age              #4  Age
 
3. Any allergies or disabilities we should be aware of?    *if Checked
Details:
4. Do you have any old pictures you would like to share?
Feel free to email and or bring them with you (we will scan them) and we will add them to our photo gallery. 
5. Do you plan to play in the band concert?
If YES, can you bring your own instrument?   Check if you Can   (specify instrument)
6. Local Attendees: Do you have a room or backyard to accommodate a tent/trailer of an old school friend?
Please Note: Any surplus funds generated by the Reunion will be donated to the MRHS scholarship fund set up after the 1990 Reunion to provide financial awards to graduating MRHS students. 
 
Additional Comments
  * Please Note: you must choose your "Payment Type"  to complete your registration