Fitzpatrick Family Reunion 2025 Registration Form

1

I understand and agree to the registration fees listed below:* This field is required.- $75 for adults ages 13 years and older - $45 for youth ages 6 to 12 years - $0 for children 0 to 5 years

YESNO

2

I understand that if my child turns 6 years old before August 1, 2025, I must register the child as a "Youth" ages 6 to 12.* This field is required.Please answer "Yes" or "No"

YESNO

3

How many family members will you register today?* This field is required.Please only register members of your household. To add family members who do not live with you, please complete a separate registration form. This information helps us collect contact information for all adult members of the family (18 years of age and older.)

4

Household Primary Contact (Family Member #1)* This field is required.Who will serve as the primary contact of your hosuehold?

First Name

Last Name

Sr, Jr, II, III

5

Primary Contact Email* This field is required.Please enter the email address for the primary contact of your household.

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

6

Primary Contact Phone Number* This field is required.Please enter a phone number for the primary contact.

7

Primary Contact Address* This field is required.

Street Address

City

State

Zip Code

Country

8

Will the Primary Contact be purchasing a T-Shirt?

YESNO

9

Primary Contact T-Shirt Size?$10 - Youth Small - Adult XL $12 - Adult 2XL - 4XL $14 - 5XL

10

Name of Family Member #2* This field is required.

First Name

Last Name

Sr, JR, II, III

11

Family Member #2 age range?

12

Will you be purchasing a T-Shirt for Family Member #2?

YESNO

13

Family Member #2 T-Shirt Size?$10 - Youth Small - Adult XL $12 - Adult 2XL - 4XL $14 - 5XL

14

Family Member #3 Name* This field is required.

First Name

Last Name

Sr, JR, II, III

15

Family Member #3 age range?

16

Will you be purchasing a T-Shirt for Family Member #3?

YESNO

17

Family Member #3 T-Shirt Size?$10 - Youth Small - Adult XL $12 - Adult 2XL - 4XL $14 - 5XL

18

Name of Family Member #4* This field is required.

First Name

Last Name

Sr, JR, II, III

19

Family Member #4 age range?

20

Will you be purchasing a T-Shirt for Family Member #4?

YESNO

21

Family Member #4 T-Shirt Size$10 - Youth Small - Adult XL $12 - Adult 2XL - 4XL $14 - 5XL

22

Family Member #5 Name* This field is required.

First Name

Last Name

Sr, JR, II, III

23

Family Member #5 age range?

24

Will you be purchasing a T-Shirt for Family Member #5?

YESNO

25

Family Member #5 T-Shirt Size?$10 - Youth Small - Adult XL $12 - Adult 2XL - 4XL $14 - 5XL

26

Family Member #6* This field is required.

First Name

Last Name

Sr, JR, II, III

27

Family Member #6 Age Range?

28

Will you be purchasing a T-Shirt for Family Member #6?

YESNO

29

Family Member #6 T-Shirt Size$10 - Youth Small - Adult XL $12 - Adult 2XL - 4XL $14 - 5XL

30

Family Member #7* This field is required.

First Name

Last Name

Sr, JR, II, III

31

Family Member #7 Age Range?

32

Will you be purchasing a T-Shirt for Family Member #7?

YESNO

33

Family Member #7 T-Shirt Size$10 - Youth Small - Adult XL $12 - Adult 2XL - 4XL $14 - 5XL

34

Family Member #8* This field is required.Who is the person filling out the form?

First Name

Last Name

Sr, JR, II, III

35

Family Member #8 Age Range?

36

Will you be purchasing a T-Shirt for Family Member #8?

YESNO

37

Family Member #8 T-Shirt Size$10 - Youth Small - Adult XL $12 - Adult 2XL - 4XL $14 - 5XL

38

Registration Fee TotalTotal dollar ($) amount of all registration fees.

39

T-Shirt Fee TotalTotal dollar ($) amount of all t-shirt fees

40

Grand TotalTotal dollar ($) amount of all registration + t-shirt fees.

41

How will you make your payment?* This field is required.Please select an option.

Zelle payment using email currysonya1@gmail.com (Sonya Curry)

Cash App payment to $SHCurry (Sonya Curry)

Mail a check or money order to: Sonya Curry 4221 Green Meadow Drive, Montgomery, AL 36108