Please Complete & Send in to Jackie
5532 W. Northwood Dr
Glendale, AZ 85310
REGISTRATION FORM
Name (Head of Household): _________________________________________
Address: ______________________________________________________
City: _____________________________ State:_____ Zip Code: ___________ Phone:________________________ Email:_______________________________

Names of all individuals attending and for which payment is being made. Indicate category Adult, Teenager, Youth, Child. See below for pricing.
Name                                                                                                                                Category 1.________________________________________________         ________ 2.________________________________________________         ________ 3.________________________________________________         ________ 4.________________________________________________         ________ 5.________________________________________________        ________

               Ida Green Family Reunion Contributions are as follows:
 
                          Ida Green Family Reunion Contributions are as follows:

Adults (Age 18+) - $125                                           Youth (Ages 5-12) -  $50
Teenagers (Ages 13-17)  -  $75                                Children (Ages 4 & Under) – No Charge                                                      

 
 
 
Number of T-Shirt Sizes (please indicate how many for each size needed)
Adult:   Small___   Medium___    Large___   1X___   2X___   3X___
Youth:  Small___   Medium___    Large___

Reunion payments can be submitted any time prior to and received no later than March 31, 2020.  Make checks payable to: Green Family Reunion and mailed to:  
Ida Green Family Reunion
c/o Jackie Duarte
 *  5532 W. Northwood Dr  *  Glendale, AZ 85310