Mount Si Class of ’76 Reunion

Mount Si High School Class of ’76 Registration page

Complete this form to begin your registration. You’ll receive and email confirmation. Be sure to follow up afterward with payment.

Name *

First

Last

Bringing someone? Please provide first and last names.

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Form of Payment-Cost is $60 per person *

• Zelle*
• Check**

*Zelle is preferred. Quick & easy. Account number is: mtsiclassof1976@gmail.com or **Send check payments to Marsha Wallick at 3736 N 162nd Ln. Goodyear, AZ. 85395

Please select your choice of entree *

• Chicken Marsala
• Flatiron Steak

If you're bringing a guest, please indicate the second entree choice here. Any other questions, comments, Ideas?

Submit