CHS '71 Reunion Registration Form

REUNION DATE:	October 17, 2026
EVENT LOCATION:	Rick's on the River, 2305 N. Willow Avenue, Tampa 33607
TIME:	6:00PM - 10:00PM
DETAILS:	Admission is $25 per person, and includes appetizers, music, and a great time in the "Big Tent" at RICK'S ON THE RIVER. A cash bar will also be available. Payment options are below.
QUESTIONS?	Contact either Claudette Wells at 321-693-5850, claudette.wells@gmail.com; or Patty Hourigan Baldwin, at 813-758-0918, ceebeeze@aol.com

Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Name Tag
Guest's Name if Applicable
Guest's Preferred Name Tag
Payment Options:

PayPal (see below); VENMO: @CHS1971Reunion; ZELLE: CHS-1971-Reunion; or Check payable to "CHS Class of 1971 Reunion" (send to Claudette Wells at 4856 Merlot Dr., Rockledge, FL 32955).
Reminders
- There are no refunds if you decide not to attend the event.
- Registration will end on October 10, 2026. After that date, this form will be offline.
- The reunion committee promotes a safe environment for every participant - provocation, discrimination, hatred, and bullying will not be tolerated.
My Products
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Registration Fee - Guest
$25.00 Quantity

Product Name
Free Quantity

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
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