Nash-McKay Family Reunion

July 29-31, 2011

Donald W. Jackson, Planner

850.200.5124

 

REGISTRATION FORM

 

 

NAME:  __________________________________________________________________

 

 

ADDRESS:  _______________________________________________________________

 

 

CITY/STATE/ZIP CODE: ___________________________________________________

 

 

RESIDENCE TELE NUMBER:  ______________________________________________

 

 

CELLULAR NUMBER:  ____________________________________________________

 

 

E-MAIL ADDRESS:  _______________________________________________________

 

Registration Fees*

ADULTS – 18 years of age and above

$100.00

YOUTH AND TEENS – 6 years through 17

$50.00

CHILDREN – 5 years and younger

FREE

 

PLEASE RETURN PAGES 1 AND 2, LISTING ALL FAMILY MEMBERS ATTENDING, BY MAY 1, 2011.

 

 

*Listed registration fees do not include the cost of travel or hotel lodging

 

Go to Page 2