Registration Form


	Papillion LaVista High School Class of 1986


	Registration Form Please complete the form below and mail a check made payable to "Papillion-LaVista Class of 1986" to the following: Erica Zikas 209 Fleetwood Drive Papillion, NE 68133

Reunion Event Sign-Up Form

Sign Up For	Qty	Price Each
Family Picnic Adult (Sat)		$5.00
Family Picnic Under 12 (Sat)		$4.00
Saturday Night Dance-Couple		$60.00
Saturday Night Dance-Single		$35.00

Subtotal
Donations
Total

NAME:

SPOUSE/GUEST:

E-MAIL:

PHONE:

ADDRESS:

CITY:

STATE:

ZIP CODE:

COMMENTS:

Please complete the form above and mail a check
made payable to "Papillion-LaVista Class of 1986"
to the following:

Erica Zikas
209 Fleetwood Drive
Papillion, NE 68133


	Home \| Reunion Calendar \| Contact Us \| Other Events \| Reservation Form