Register - Omaha Benson High School Class of 1983

Due to seating limitations for the Saturday night gala, a total of 200 registrations will be accepted. Please register as soon as possible so that we can finalize counts for dinner. Registration ends on May 8th or as soon as the Saturday night event is full.

We prefer credit/debit card payments using the form below. If you would like to pay by check, please send payable to:

Dave McCarthy
525 S. 249th Circle
Waterloo, NE 68069

NOTE: Even if you can’t make it, please complete the form and provide your name and email address so that we can notify you of future events!

Class of 83 Reunion Registration Form

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Company

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We need a headcount for the free school tour from 11 a.m. to 1 p.m. on Saturday, June 10.

Downtown Benson gets crowded. On Saturday night, a free shuttle bus will run from the Benson High School parking lot to the dinner venue. How likely are you to use it?

Very likely

Somewhat likely

Not planning to use it.

Let's get hopping! How many people are registering for the Saturday dinner?*

Registration for One Person

This registration is for one person. It includes admission to all reunion activities as well as one t-shirt and one ticket to the Saturday night gala.

Price:

Registration for Two People

This registration is for two people. It includes admission to all reunion activities as well as two t-shirts and two tickets to the Saturday night gala.

Price:

Subtotal

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Registrant Information

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Name of Class of 83 Graduate*

First Last

Grad Email

Choose a Shirt Size:*

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Guest Information

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Name of Guest*

First Last

Guest Shirt Size:

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Payment Information

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Credit Card

Card Details

Cardholder Name

Billing Address

Must match billing address on credit/debit card

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

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Non-Attendee Information

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Name of non-attendee:

We're sorry you will not be attending. Optional: Please include your email address for our records.

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