REGISTRATION INFORMATION
First Name:
Last Name:
Nickname / name you go by: (for your nametag)
Address:
City:
State:
Zip:
Daytime phone:
Email:
# of reunion attendees:(spouses & significant others welcome!)
Spouse/significant other name: (if attending, for nametag)
Year(s), county(ies), & state(s) you were on staff:
Spouse/significant other ASP staff alum too?
Please Select Yes No
Year(s), county(ies), & state(s) spouse/ significant other on staff:
Will you be bringing
Please Select Yes No
If yes, please list your
Do you need babysitting services during the dinner Saturday night?
Please Select Yes No Cost is $5/child, payable in cash at the event; Snacks, but not dinner, will be provided in the nursery
Are you vegetarian?
Please Select Yes, vegetarian Yes, vegan No, not vegetarian
Planning to attend the benefit concert Friday night?
Please Select Yes No Maybe $15 suggested donation, payable at the door
Planning to volunteer
Please Select Yes No Maybe
If yes, please rank your
Capital Area Food Bank (Children 10+ allowed)
Please Select Top choice Second choice Third choice Not planning on volunteering
Christian Communities Group Home (All ages welcome)
Please Select Top choice Second choice Third choice Not planning on volunteering
Washington Parks & People (Children 7+ allowed)
Please Select Top choice Second choice Third choice Not planning on volunteering
Planning to attend church
Please Select Yes No Maybe
Planning on guided sightseeing Sunday afternoon?
Please Select Yes, Art Tour Yes, Monuments Tour Yes, Museums Tour Yes, Georgetown Tour Maybe, I'm not sure No, not interested
PAYMENT INFORMATION
Payment type:
Please Select Visa MasterCard Discover American Express Check (by mail)
Payment amount:
Cost: $50/person for adults; children eating dinner;
If paying by credit card, daytime phone number:
If paying by credit card please provide a daytime phone number and we will contact you for your credit card number.
If paying by check,
ASP - Alumni Reunion
