Planning Guide 2012 - Alumni - Cornell University

2011Class of 1991: Reunion Registration FormRegister online or download this form and mail by May 27, 2011 to:Cornell Class of 1991, Alumni Affairs, P.O. Box 6554, Ithaca, NY 14851-6554Classmate 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 #)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)This form does not enroll and/or cover fees for the University Youth Program or IC3 Child Care. If you want to register for these programs, you must perform thisseparately online at alumni.cornell.edu/reunion, and submit the additional appropriate fees.Expected Arrival Date/TimeCheck-in begins at noon on Thursday, June 9.Arrival Day: Thurs. Fri. Sat. Time: 9 a.m.–2 p.m. 2–5 p.m. 5–9 p.m. after 9 p.m.Dietary NeedsFor other special dietary needs, please contact your Reunion Chairs.# of Kosher ______________ # of Vegetarian ______________ # of Gluten-Free ______________For Additional information explore our class website at classof91.alumni.cornell.eduor Contact: Reunion Co-Chairs: Jeff Weintraub and Dorine Colabella: cornell91@cornell.eduRegistration Chair: Bob Baca: cornell91@cornell.edu(over)F