Alverno College Casino Night Friday, October 6, 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
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*