Shurn Family Chicago Reunion 2023

All Hidden Fields Go Here
Fixed-Adult-Over-18
Fixed-Age-10-17
Fixed-Age-06-09
Fixed-Adult-Shirts
Fixed-Adult-Shirts-2XL
Fixed-Adult-Shirts-3XL
Fixed-Adult-Shirts-4XL
Fixed-Child-Shirts
Pay Confirmed
All Names Registered
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Child-Free-Hide
Young-Adults-Hide
Adult-Names-Hide
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Shurn Reunion

2023 - Chicago
Shurn Family Chicago Reunion 2023

This Form Uses The Square Payment Gateway
Name*

First NameLast Name
E-mail*

Confirmation EmailExample name@ email.com
Home Phone
Only Enter Numbers No Dashes
Cell Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Chapter*

Adults Age 18 & Older

${fixedadultover18}.00 Per Adult
Age 18 and Up *
Select or Leave Blank if None
Total-Adult-Cost
Calculated Amount
Full Name of First Adult*
Full Name
Full Name of Second Adult*
Full Name
Full Name of Third Adult*
Full Name
Full Name of Fourth Adult*
Full Name

Age 10-17

${fixedage1017}.00 Per Young Adult
Age 10-17
Select Number You are Paying for or Blank if None
Total-Young-Adult
Calculated Amount
First Young Adult 10-17*
Full Name
Second Young Adult 10-17*
Full Name
Third Young Adult 10-17*
Full Name
Fourth Young Adult 10-17*
Full Name

Age 6-9
${fixedage0609}.00 Per Child
Age 6-9
Select Number You are Paying for or Blank if None
Total-Child-6-9
Calculated Amount
First Child Age 6-9*
Full Name
Second Child Age 6-9*
Full Name
Third Child Age 6-9*
Full Name
Fourth Child Age 6-9*
Full Name

Age 0-5 No Charge Per Child
Age 0-5
Select Number You are Paying for or Blank if None
First Child Age 0-5*
Full Name
Second Child Age 0-5*
Full Name
Third Child Age 0-5*
Full Name
Fourth Child Age 0-5*
Full Name

Adult Tee Shirt Ordering Section

${fixedadultshirts}.00
Adult X Small
Select Quantity
Adult Small
Select Quantity
Adult Medium
Select Quantity
Adult Large
Select Quantity
Adult XL
Select Quantity
Total-Adult-Shirts (S-1XL)
Calculated Amount

Adult Extra Large Shirt Ordering Section

Adult 2XL ${fixedadultshirts2xl}.00
Adult 3XL ${fixedadultshirts3xl}.00
Adult 4XL ${fixedadultshirts4xl}.00
Adult 2XL
Select Quantity
Adult 3XL
Select Quantity
Adult 4XL
Select Quantity
Total-Adult-Shirts-(2XL-4XL)
Calculated Amount

Children Tee Shirt Ordering Section

${fixedchildshirts}.00
Y-XSmall
Select Quantity
Y-Small
Select Quantity
Y-Medium
Select Quantity
Y-Large
Select Quantity
Y-XLarge
Select Quantity
Total-Child-Shirts
Calculated Amount

Bus Tour - Sold Out

Trip to Navy Pier on Saturday:

Join the family for a day in the city at Navy Pier. Shuttle bus will be provided to get you to the city and back. The committee will need a final headcount for those who want to take this trip. Transportation for the day will be $25. Please purchase your ticket by June 17 so that we have an accurate number for those planning on going.
Tour Tickets
Total Tour Tickets
Calculated Amount

Reunion Cost Summary
Total-Shirts-Count
Total-Shirts-Cost
Total Bus Tour Tickets {Total-Tour-Tickets}
Total Persons Registered
Total Dues Registered
The Shurn family Scholarship fund has distributed $9,750 to 27 students. This fund is 100% funded by family members. Will you support with a contribution?
Scholarship-Contribution
Enter Your Donation
Payment Total
Calculated Amount All Items Total
Payment Method *
Date We Can Expect Payment*

MonthDayYear
OnLine-Pay

Your payment will include a 2.9% processing fee, plus thirty cents. This is a bank fee and is not a fee from the family.

You may change your payment method by changing your selection above, your card will be charged ${totalallitemsplusfees}
Check-Pay

If you are paying by check, select the date we can expect your check you will be emailed the details of where the check should be mailed.

Please pay ${totalallitems} by check , otherwise you may change your payment method.
Zelle Pay

You have selected to pay with Zelle, after you submit your registration please use your Zelle App and pay Shurn-family-reunion@shurn.com ${totalallitems} today. Your registration will be flagged as incomplete until payment is received.

If you want to change your payment method change your payment method selection above.
Cash App Pay

You have selected to pay with Cash App, after you submit your registration please use your Cash App and pay $shurnfamily ${totalallitems} today. Your registration will be flagged as incomplete until payment is received.

If you want to change your payment method change your payment method selection above.
Pay On-Line Total
Total Includes Processing Fees

Additional Comments:
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Shurn Reunion

Shurn Family Chicago Reunion 2023

Select Your Dues

Select Your Adult Shirts

Select Your Adult XL Shirts

Select Your Children Shirts

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