• Family Reunion Registration Form

    Register your Family for the Reunion, T-shirts, and Party Bus.
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  • Primary Attendee Information

    Enter information for the main family contact.
  • Attendee 2

    Enter information for the second attendee (if applicable).
  • Attendee 3

    Enter information for the third attendee (if applicable).
  • Attendee 4

    Enter information for the fourth attendee (if applicable).
  • Attendee 5

    Enter information for the fifth attendee (if applicable).
  • Attendee 6

    Enter information for the sixth attendee (if applicable).
  • Visit our reunion website: 

    https://www.henderson-kirkland-crockett-family-reunion-2026.com 

  • We will not accept personal checks. Accepted forms of payment to Gladys Madison, 1411 Gibraltar Drive, Jackson MS 39204 include: Cashier’s Check, Money Order, and Bank-to-Bank Wire Transfer (Wells Fargo). You will contact Charles McDuffy (601-238-0894) or Gladys Madison (601-238-0376) if you desire the link for the Wire Transfer. We are asking that each State’s Representative to be available to assist their state’s family members with registration if necessary and to send reunion fees as a group, if possible.

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