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.
Your answer
Middle Name
Print middle name EXACTLY as it appears on the government issued identification.
Your answer
Last Name *
Print last name EXACTLY as it appears on the government issued identification.
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Home Address *
Your answer
City, State, Zip Code *
Your answer
Phone Number (Mobile) *
Your answer
Phone Number #2 (Optional)
Your answer
Email Address *
Your answer
Room Type *
Required
Dietary restrictions *
Is an ADA accessible cabin required?
Is wheelchair assistance needed at the airport?
Do you need an Air Departure City other than Kansas City? *
Required
If yes, list closest airport(s) to you?
Your answer
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.
Your answer
Emergency Contact's Name *
Please include first and last name of your emergency contact below.
Your answer
Relationship to Passenger *
Emergency Contact's Phone Number *
Your answer
Additional Comments/Requests
Please note any additional requests.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy