REGISTRATION FORM

55th CLASS REUNION 
WEBSTER GROVES HIGH SCHOOL CLASS OF 1961
SEPTEMBER 23-25, 2016

Classmate Name:   ____________________________________________________
         Phone:   (_____)___________________

Name of Attending Spouse or Friend  _____________________________________

INDIVIDUAL EVENT PRICING  -   Please indicate number attending each event:

  Number                                                                             
Attending                                                         TOTAL

________Reunion Registration Fee……..…….…………………………..….@ $ 5.00 each            $__________

________Friday Night – Buffet at Jefferson Grill (PJ’s) – 6:00-?....@ $20.00 each            $__________

________Saturday – BBQ Picnic – Blackburn Park – 3-8 pm…….…@ $30.00 each            $__________
            BYOB – IMPORTANT - NO GLASS ALLOWED

________Sunday Breakfast - Holiday Inn Route 66  – 10:00 am...@ $20.00 each            $__________
                           (I-44 x Lindbergh – was The Viking Inn) 

DONATION to help finance our REUNION………................................................................$__________

TOTAL PAID……………………………..………………………………………………………………$______________

               Please send this form before September 1 if possible.  Thanks.

Make checks payable to: “REUNION –  CLASS OF ’61”

Mail checks to:
David Moody, Treasurer
883 Rochdale Drive
Kirkwood, MO 63122