Homecoming Event Registration 2013

Homecoming 2013 Registration Form

Contact Information

Title: *	First Name:*	Maiden/Middle Name:	Last Name:*
Emmanuel College Grad/Att Yr:		Emmanuel High School Grad/Att:

Spouse's First Name:	Spouse's Maiden Name:
Emmanuel College Grad Yr/Att.:	Emmanuel High Grad/Attend Year:

What is your primary email address? Additional Email Address? What is your primary telephone number?* Additional Phone

Mailing Address:*

Apt #:

City:*

State:*

Zip:*

Country:

Event Information

Name Printed on Badge:

Spouse's Name Printed on Badge:

Total Attendees: Other Special Requirements or Requests (e.g., child care)

Please choose an activity or activities you will be attending and tell us how many people will be attending.

Event Activities Will you be attending a class reunion? How many will be attending the class reunion?

Please choose an activity or activities you will be attending and tell us how many people will be attending.

Receptions/Meals 1. Friday Evening Reception How many will be attending? 2. Sat. Golden Grads Reunion Breakfast How many will be attending? 3. Sat. SCM Reunion Breakfast How many will be attending? 4. Sat. Valedictorian Continental Breakfast How many will be attending?

5. Sat. Alumni & Friends Luncheon How many will be attending?
Emmanuel College encourages persons with disabilities to participate in campus events and activities. If you anticipate needing any type of accommodation or have questions about access, please contact Mrs. Shanterrin Harland in the Alumni Relations in advance: 800-860-8600 or sharland@ec.edu. Thank you!

Registration Fees

$40 per person (all meals & events all weekend)

$75 per couple or parent/child (all meals & events all weekend)

$100 per family of 3 or more (all meals & events all weekend)

Golden Grads (Classes of 1919-1963) - $15 per person or $25 per couple (all meals & events all weekend)

Friday Evening Reception only - $15 per person

SCM Reunion Breakfast only - $15 per person

Valedictorian Reception only - $10 per person

Alumni & Friends Luncheon only - $15 per person

After you submit this form, you will be given an option to pay online by credit card.

If you decide not to pay online, you may mail your payment in to the following address:

            Emmanuel College
              Office of Alumni & Development
            PO Box 129
            Franklin Springs, GA 30639

* Information is Required