REGISTRATION FORM

NAME:

Nickname for nametag:

Wife/Date/Significant Other's Nametag:

eMail Address:  

Web Site Address  (If you have one):

Mailing Address:

Phone Number(s):

Present Occupation:  Company, Your Title, Brief Job Duties:

Why haven't you retired yet?  Plans to?

---GENERAL INFORMATION---

Wives & children (use multiple lines if necessary:


Grands:
Great Grands? (Hey, we've only been out 40 years;-) :  
Any Children or Grands at (or graduated from)  ElCid?  Who?


Distance traveled to reunion:  
Number of places lived since graduation:  
Number of Class reunions attended (counting this one):  

What prompted you to attend this year?