Southeast High School 20th Class Reunion 2020 Registration
Sponsored by C&S Tours, LLC
June 18-21, 2020
Contact Kimberly Beasley at (816) 726-2633 or kimberlybeasley02@gmail.com

PLEASE REGISTER EACH TRAVEL GUEST/PASSENGER.
First Name *
Print first name EXACTLY as it appears on the government issued identification.
Middle Name
Print middle name EXACTLY as it appears on the government issued identification.
Last Name *
Print last name EXACTLY as it appears on the government issued identification.
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Home Address *
City, State, Zip Code *
Phone Number (Mobile) *
Phone Number #2 (Optional)
Email Address *
Room Type *
Required
Dietary restrictions *
Is an ADA accessible cabin required?
Clear selection
Is wheelchair assistance needed at the airport?
Clear selection
Do you need an Air Departure City other than Kansas City? *
Required
If yes, list closest airport(s) to you?
Please include roommate below. *
List his/her first and last name. If you will not have a roommate, then write NONE in the space below.
Emergency Contact's Name *
Please include first and last name of your emergency contact below.
Relationship to Passenger *
Emergency Contact's Phone Number *
Additional Comments/Requests
Please note any additional requests.
Submit
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