Alverno College Casino Night Friday, October 5, 7:00 pm, LaVerna Commons
Registration Form
PARENT & FAMILY INFORMATION
First Name
*
Last Name
*
Email Address
*
Number of Guests Attending (not including the student)
*
1 Guest
2 Guests
3 Guests
4 Guests
5 Guests
Please make a selection.
Guest 1 First and Last Name
Guest 2 First and Last Name
Guest 3 First and Last Name
Guest 4 First and Last Name
Guest 5 First and Last Name
STUDENT INFORMATION
Student First Name
*
Student Last Name
*
