30th Anniversary Celebration Registration

30th Anniversary Celebration Registration
Primary Attendee Information
Name*

First NameLast Name
Email*
example@example.com
Phone*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Are you an alum of Campus Outreach Charlotte?*

YesNo
School*

CampbellDavidsonEast CarolinaElonHigh PointNorth Carolina A&TNorth Carolina StateUNC Chapel HillUNC CharlotteUNC GreensboroWingateOther
Graduation Year*
Have you participated in a Cross-Cultural Project to South Africa?*

YesNo
How many ADDITIONAL guests (i.e. spouse, high-school aged kids) plan to accompany you?*
We will not have formal childcare for the Saturday evening event, but other activities during the weekend will be better suited for young children.
Additional Guest Information
Additional Guest 1 Name*

First NameLast Name
Guest 1 Email
example@example.com
Guest 1 Phone
Please enter a valid phone number.
Is this guest an alum of Campus Outreach Charlotte?

YesNo
Additional Guest 1 School

CampbellDavidsonEast CarolinaElonHigh PointNorth Carolina A&TNorth Carolina StateUNC Chapel HillUNC CharlotteUNC GreensboroWingateOther
Additional Guest 1 Graduation Year
Has this guest participated in a Cross-Cultural Project to South Africa?*

YesNo
Additional Guest 2 Name*

First NameLast Name
Additional Guest 3 Name*

First NameLast Name
Additional Guest 4 Name*

First NameLast Name
Additional Guest 5 Name*

First NameLast Name
Additional Information
Please specify below if anyone in your party has dietary restrictions.
Please list individual names along with specific dietary restrictions. We will do our best to accommodate.
Are you interested in serving as a Sponsor or Table Host?
We have varying levels of sponsorships available which will include company promotion and visibility, exclusive gift bags, priority seating, and more. If you are interested, we will follow up with directly with additional details.
Are you interested in providing a scholarship ($30) for a young alum to attend? If so, how many?
Share Your Memories!

Have any fun photos from your time in CO? We'd love to include them at the event!
Cancelof
Promo Code
Case sensitive

Please email charlotte@campusoutreach.org with any questions!
Number of Attendees
Registration Cost
Cost of Young Alum Scholarships Provided
Promo Code Discount
Total Cost
Should be Empty:

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

30th Anniversary Celebration Registration

Primary Attendee Information

Additional Guest Information

Additional Information