HTML Preview Family Reunion Registration Form page number 1.
Mail Registration Form w/ Payment to: Branch Information
Bickerstaff Family Reunion 2014 Please list the Family Branch to which you belong:
c/o Cydni Bickerstaff
2921 26
th
Street NE ________________________________________
Washington, DC 20018
It’s A Family Affair…The Legacy Never Ends
www.BickerstaffFamilyReunion.com
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Please be sure to complete this entire form and return it with your Registration Fees. The information collected from this
form will be used for the Family Directory. If you are unable to attend the Family Reunion still complete the information
and return it so your information will be included in the Family Directory. Deadline to return Registration Form is: May 15,
2014. Please visit the Bickerstaff Family website online for updates and to Pay and/or Register online at
www.bickerstafffamilyreunion.com.
GROUP
PAYMENT BY
MONEY ORDER
ONLINE
REGISTRATION
LATE REGISTRATION
(after 5/15/2014)
Adults
$150.00
$156.00
Add $20
Young Adults (11-18)
$70.00
$73.00
Add $15
Children (5-10)
$40.00
$43.00
Add $10
Toddler (4 and under)
FREE
FREE
N/A
PLEASE NOTE: The registration fee includes admission for one (1) to all scheduled events and
one (1) T-shirt. It does not include hotel accommodations or other non-sponsored reunion
committee planned events you may elect to participate in.
PERSONAL INFORMATION:
FIRST NAME:
MIDDLE NAME:
LAST NAME:
ADDRESS:
CITY:
STATE:
ZIP:
HOME PHONE:
CELL PHONE:
EMAIL:
FACEBOOK:
Do you want this information listed in the Family Directory? Yes No Other ______________________________
FAMILY HISTORY:
FIRST NAME
MIDDLE NAME
LAST NAME
DATE OF
BIRTH
DATE OF
DEATH
Father
Mother
Grandfather
Grandmother
Spouse
Wedding Anniversary Date:
Child
Child
Child
Child
Child
BICKERSTAFF FAMILY REUNION REGISTRATION FORM