TCHS68 40^th Reunion Boomers Blow-Out

Registration and Payment Form

Name: _____________________________________________________________________

First 1968 Last Name Current Last Name

Guest: _____________________________________________________________________

First Last Name

Address: ___________________________________________________________________

City, State & Zip: ____________________________________________________________

Telephone: ___________________ Email: ______________________________________

Please indicate which reunion event(s) you will be attending and the number in your party:

Friday night Ice Breaker _____ No host bar

Saturday night Dinner _____ at $75.00 per person $_______

Sunday morning Breakfast _____ off menu at your own expense

Registration Fee (Mandatory) at $20.00 per classmate $_______

At $25 after June 15, 2008

TOTAL ENCLOSED $ ____________

Payment instructions: Please print this form, Make checks payable to Janice Helmer

and mail to 5710 Rio Hondo Ave., Temple City, CA 91780

Your Extra Curricular Activity Ideas Welcome: If you have ideas for activities for Saturday or would

like to organize a specific activity, please tell us here.

___________________________________________________________________________________

Do you know where any missing classmates are? Please look over the list of our missing classmates

and send us any contact information you know of so we may contact them.

Remember to monitor our class web page and periodically update your contact information at