University High School Reunion
 Saturday, July 16, 2011
Registration Form  

Please complete the following: 

Class Year:  ________________

Last Name:  _______________________________________

First Name:  ______________________________________

Maiden Name:  _____________________________

Spouse/Guest: _____________________________________

Street Address: ____________________________________

City: ___________________  State:  ______  Zip:  _______

E-mail: __________________________________________

Phone:  ______________________

Number of persons attending:  ____________________

Amount of check/money order (payable to UHS Reunion, 2011) at $40.00 per person: ________________________

Names as you want them to appear on the name tags. 

Your name: _______________________________________

Your class:  ___________________

Your spouse's or guest's name: 

_________________________________________________

(If your spouse/guest graduated from UHS, please give the year.)

 ____ I will not attend, but have completed the above information for current records.


Mail form and check to: 

UHS Reunion, 2011
PO Box 1117
Chapin, SC  29036  

_________________________________________________________________________