Regent Centennial and Reunion Registration

To register by mail, click here for printable form.

To register online, fill out form below and click submit.

All-Access passes are available. Passes will get you into all dances and activities in the Centennial Tent and Legion Hall all four days. Child passes also include access to Inflatable Games Friday and Saturday. If purchasing an All-Access Pass (A GREAT VALUE!!) you can choose to pay with credit card/PayPal or pay at registration during the celebration.

Please enter all information below:

First Name:		Last Name:
If attended RHS/MRHS:	Grad Non-Grad	Class Year:
Address:
City:		State:	Zip:
Phone:		E-mail:

Spouse/Guest First Name:		Last Name:
If attended RHS/MRHS:	Grad Non-Grad	Class Year:

Total People Attending:
Other Attendees:	Please list names of others attending below.
	If RHS/MRHS grads, please have them register separately.


Planned Arrival Date:
Do you need lodging:	Yes No

All-Access Passes:	Number of Adult Passes (13 & over) @ $25.00 Each
	Number of Child Passes (Ages 4-12) @ $20.00 Each

Payment:	If purchasing passes, please select payment option
	E-mail me an invoice for credit card or PayPal payment
	I will pay at Registration
Comments: