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2015 Parrish Family Reunion Registration Form

Please complete this form and return it with your payment (money orders and certified checks only) before 
June 1, 2015. No Personal Checks will be accepted.

Name(s): ________________________________________________

________________________________________________________

Address: ______________________________________________

City, State, Zip Code: ____________________________________

Email: ________________________________________________

Telephone # (if no email address): __________________________

Branch (i.e. Mariah, Mary, Martha, Crawford, Henry, James): ______________________

Reunion Fees:

Adults (18 years and up) $150.00 per person

# of adults attending_____@ $150.00 per person $__________

Adolescents (ages 12 - 17 years) $75.00 per child

# of adolescents attending _____ @ $75.00 per person $__________

Children (ages 4 – 11 years) $25.00 per child  

 # of children attending _____ @ $25.00 per child $__________

Babies/Toddlers (ages 0 – 3 years) $ free  

  # of babies/toddlers attending _____ $__________

Total Registration Fee: $__________

Banquet Meal Choice (one per guest): Chicken #_______Beef#________ Kids Meal#______

Please return this form along with your certified check or money order to:

2015 Parrish Family Reunion
P.O. Box 1642 
Tallevast, FL 34270