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

 

 

 

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