REGISTRATION for LRCHS-HALL 65th
Reunion April 28 & 29, 2023
Name: First
_____________________________________________
Last______________________________________________
Maiden___________________________________________
Spouse/Guest___________________________________________
Mailing
Address________________________________________________
______________________________________________________
Cell
Phone______________________________________________
Home Phone____________________________________________
Email__________________________________________________
Check Here If NOT OK to Share above Contact
Information with Classmates_________
REGISTRATION FEE $20 per person Attending
Mail Registration Form and Check made to "Class
of '58" to:
Janell Barkley
9 Johnnycake Ln
Little Rock, AR 72211-1602