School Alumni Chapters


Find us on Facebook!https://www.youtube.com/watch?v=YSieu9rh6KUZippity Doo Dah gives to BCHJackson Free Clinic
  • Class of 1964 Luncheon

    Please fill out the registration form below to join us for the Class of 1964 Luncheon.

  • Registration Form

    Please register by August 16, 2014.

    * = Required Fields

    First Name*
    Last Name*
    Address*
    City*
    State*
    Zip Code*
    Spouse/Guest
    Phone()-- ext.
    Email
    I plan to attend this luncheon*
     
    Number Attending (x$20 per person)*
    Total
    Specify any diet restrictions
    Card Holder Name*
    Card Type*
    Credit Card Number*
    Credit Card Expiration Date*
    Credit Card CVV Number*
    Located on the back of the card
       CVV