Online Registration

Next Association Meeting
Thursday, May 9, 2024
at
Remote Meeting via Zoom
at 7:00 PM

Next Mass Reunion
June 21, 2023 to June 25, 2023
at
MCM Elegante Hotel

Hebert High School Alumni Association

www.heberthighalumni.org

12th All-Classes Reunion Registration

June 26 - June 30, 2019

MCM Elegante Hotel

PLEASE PRINT

Date:

REGISTRANT DATA
(Fill a separate registration form for each alumnus and guest.)

Check One

Hebert High AlumnusClass Year:
Guest

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

Street Address:

City State Zip Code

Home Phone # Cell 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
Registration Fee
Registration Fee
Late Registration Fee

$100.00 (Applies through February 15, 2019)
$125.00 (Applies Feburary 16, 2019 thru April 15, 2019)
$150.00 (Applies April 16 thru May 27, 2019)
$200.00 (Applies after May 27, 2019)

Partial Payment

$25.00 $50.00 $75.00 $100.00 $125.00

Total Due based on Final Payment Date.

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

Scholarship Fund Donation None $25.00 $50.00 $75.00 $100.00

TOTAL NO REFUNDS AFTER MAY 27, 2019

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: