Check One { Hebert High Alumnus Class Year:
Guest

Name Prefix
(Rev.Dr.,etc.)
First
Middle
Last
Suffix Maiden Name Last name
as student at Hebert

Mailing Address:

City State Zip Code

Home Phone # Mobile Phone # Email Address

BADGE PORTRAIT

Use photo on file Will send or Upload photo Will take photo at monthly meeting

FEES

The following fees apply to all registrants

Early Registration Fee $175.00 (Applies through February 28, 2026)

Registration Fee $225.00 (Applies March 1, 2026 thru May 31, 2026)

Late Registration Fee $250.00 (Applies after May 31, 2026)

Partial Payment $(Total due based on final payment date)

The following is an optional tax deductible donation of any amount to the Hebert High School Alumni Association Scholarship Fund.

Scholarship Fund Donation $

Make checks payable to Hebert High School Alumni Association. Mail Registration form and check to:

HEBERT HIGH SCHOOL ALUMNI ASSOCIATION
P.O. BOX 6642
BEAUMONT, TEXAS 77725

FOR ALUMNI ASSOCIATION USE ONLY

Check No. Cash PayPal Date Received: