Registration Form – please print and mail

COUSINS’ FAMILY REUNION

AUGUST 9 & 10, 2014

St. Mary’s Catholic Church Parish Hall

312 S Saunders Avenue, Sutton, Nebraska

We welcome ALL extended members of the family to attend the reunion. We ask that each family fill out a registration form, so that we will have enough materials for everyone and everything will run smoothly.

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Family Name: ________________________ Contact person:___________________

Phone number: __________________ E-mail address:_________________________

  • Saturday evening pizza party                YES  NO    (circle one)

      how many?         ___________           (Donation collected at the party)

  • Sunday golf scramble                            YES  NO    (circle one)

      how many?         ___________            (Pay at course)

  • Sunday family dinner                             YES  NO    (circle one)

      how many?     kids under 5       ______  free          ________

                              6-12                   ______   x   $ 5     ________

                             over 12               ______   x   $15    ________

  TOTAL ENCLOSED:                                          $       ________

Please make your check payable to Joan Hultman and mail this form and your check to Joan by July 26, 2014. Joan’s address is: 31871 Road U, Sutton, Ne 68979.

We will have name badges for all attendees, even the little ones. Please print the names as you want them to appear on the badge. If you need more space, use the back of the registration form. We look forward to seeing you there!!  Use the “print” button at the bottom of the page.  Thanks!

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