Planning Guide 2012 - Alumni - Cornell University

2011Class of 1981: Reunion Registration FormRegister online at www.alumni.cornell.edu/reunion or return this completed form with payment byMay 27, 2011 to: Cornell Class of 1981, Alumni Affairs, P.O. Box 6554, Ithaca, NY 14851-6554Visit our class website at classof81.alumni.cornell.eduJoin us on Facebook at Cornell University Class of 1981 AlumniClassmate InformationYes, this is my first Cornell Reunion!Check here if this is a new address or phone number.First Maiden (if applicable) LastPlease print your name as you would like it to appear on your name tag; we encourage inclusion of maiden name.Street addressCity, State, Zip CodePreferred phone Cell phone (used only during Reunion weekend) Vehicle license plate number (for Reunion weekend)College E-mail address Cornell ID number (7 digit # on mailing label)For use during the Reunion weekend. Must list someone NOT accompanying you to Ithaca.Emergency contact Phone Relationship3 Yes No Cornell University has my full permission to use photographs taken of me for purposes related to class and Reunionmedia outlets including, but not limited to, our class website.3 Yes No I agree to have my name listed on the class and university website as attending Reunion.Guest InformationPlease print name as you would like it to appear on name tag.Guest/spouse If Cornellian: maiden name (if applicable), class, and college Cornell ID numberGuest/spouse If Cornellian: maiden name (if applicable), class, and college Cornell ID numberChild Age (as of 06/09/11) Child Age as of(6/09/11)Expected Arrival Date/TimeNo check-ins before noon Thursday, please.Arrival Day: Thurs. Fri. Sat. Time: 9 a.m.–2 p.m. 2–5 p.m. 5–9 p.m. after 9 p.m.MealsFor special dietary needs, please specify.# of Kosher ______________ # of Vegetarian ______________ # of Gluten-Free ______________For Reunion information Contact:Reunion Co-Chairs: Celia Rodee: (630) 564-1854; cer24@cornell.edu,Monique van Perlstein: (609) 466-1590; mrv24@cornell.eduRegistration Chair: Heidi Fleischman: (718) 515-4992, cell (914) 433-2007; hf32@cornell.edu(over)F