LVR 69-70-71 Reunion 2023 Registration

REUNION DATE:	September 20th and 21st, 2023
EVENT LOCATION:	Prestige Lakeside Resort 701 Lakeside Drive, Nelson, BC V1L 5G3
WEDNESDAY DINNER & DANCE	Wed 3:30 PM - 12:00 AM
THURSDAY BBQ AT THE PARK	Thu 11:30 AM at Lakeside Park

GRAD YEAR*

196919701971Other
NAME*

FIRST NameLAST Name
Maiden Name
Née
Name of Spouse or Guest?

FIRST NameLAST Name
PHONE NUMBER
EMAIL*
example@example.com
Special Dietary Request?
Will you be participating in the “Burgers and Bash” gathering at Lakeside Park on Thursday?*

YesNo
Comments, Suggestions, In Memoriam info?

Additional Contact Info / Updates

[optional] Please provide additional or updated info
Alternate Email
Optional: Do you have a backup or alternate email address?
Additional Phone Number
Optional: Do you have a secondary phone number?
Home (or Mailing Address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

50th Reunion Registration