Homecoming Event Registration

Homecoming 2008 Registration Form

Contact Information

Title:*

First Name:*

Maiden/Middle Name:

Last Name:*

Grad/Att Yr:*

Spouse's First Name:

Spouses Maiden Name:

Grad/Attend Year:

What is your primary email address? Home Phone:*

Mailing Address:*

Apt #:

City:*

State:*

Zip:*

Country:

Event Information

Name Printed on Badge:

Spouse Name Printed on Badge:

Total Attendees: Vegetarian Meal Required? Other Special Requirements or Request

Emmanuel College encourages persons with disabilities to participate in its campus events and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Mrs. Shanterrin Harland in the Alumni Affairs in advance of the event. Phone: 800-860-8600 or Email: sharland@ec.edu.

* Information is Required