Registration

Instructions - use the Registration form to:

Register to attend the WRHS 65 Birthday Party Bash!

If you haven't already done so, please complete the Bio Information Form (optional)

Your email address and bio information will be added to your Yearbook photo.

Birthday Party Registration

First Name	*Required*	MI
Last Name	*Required*	Class of
Maiden Name	Graduation last name
Guest's Name
*Address*
City
*State*		*Zip*
*Phone*	*Required*	*Alt Phone*
*Email*	*Required*
Payment Options	Cost: $35 per person How many people? Optional Rock 'n Roll Show: $26.50 per person Show and Dinner Buffet: $37.50 per person Please check the option that applies Pay by check Make check payable to: WRHS Class of '65 Mail check to: WRHS Birthday Party Bash c/o Jay Byerly 636 Lookout Mountain Road Golden, CO 80401 Pay by credit card Credit card instructions: Call Jay Byerly at 303-526-7530 x101

Any comments?

Privacy Notice - We will use the following information solely for the purpose of keeping you informed about the WRHS reunion, related activities and follow-up news of general interest.

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