2016 JENKINS FAMILY REUNION

Registration Form

REGISTRATION DEADLINE : Saturday, July 23, 2016

 





NAME:______________________________________________________

EMAIL:_____________________________________________________


Registration fees will include meals, music, games and a choice of a tee shirt or
baseball cap.
 
                                                 How Many                                                  Total

Adults (age 13 and older)       ________    @      $115.00        =       $__________

Children (age 5 through 12)   ________    @      $20.00          =       $__________

Children (age 5 and younger)________    @      FREE

TOTAL NUMBER INCLUDED            REGISTRATION
                  ON THIS FORM   ________                      TOTAL =        $__________


TOTAL PAYABLE TO:  
SeBell Minney c/o Jenkins Family Reunion, 8428 Clayhurst
Drive, Indianapolis, IN  46278


  ****LATE AND ONSITE REGISTRATIONS WILL BE AN ADDITIONAL $5.00 PER PERSON****
No checks will be accepted for onsite registrations
.

 




Please list the names of all individuals with reservations shown in the ‘How Many”
column  above.  PRINT CLEARLY exact spelling of first and last names.  
On the back
of this form, indicate tee shirt (with size) or baseball cap.



      1.________________________________      2.________________________________

      3.________________________________      4.________________________________

      5.________________________________      6.________________________________

      7.________________________________      8.________________________________

      9._______________________________      10.________________________________