Family Weekend

MAIL-IN REGISTRATION FORM
Please print this form, complete the information and mail it
with your check, made payable to St. Lawrence University, to:
Family Weekend Registration
Student Activities and Leadership
Sullivan Student Center
St. Lawrence University
Canton, NY 13617

Name ______________________________________________________________________________________________
Street Address ______________________________________________________________________________________________
City ________________________________________________________________________________
State ________________________________________________________________________________
Zip Code __________________________________________________
Day Phone ________________________________________________________________
Evening Phone ________________________________________________________________
E-Mail Address ______________________________________________________________________________________________

Please list the names of all who will be attending, including children and guests:
Indicate the name as you would like it to read on your nametag (i.e. John Smith or J.D. Smith; Virginia Smith or Ginny Smith).
Alumni: please indicate your class year.
Adults = $35.00 each; Children (ages 6-12) = $10.00 each; Children 5 & Under = free

Guest 1 ______________________________________________________________________________________________
Guest 2 ______________________________________________________________________________________________
Guest 3 ______________________________________________________________________________________________
Guest 4 ______________________________________________________________________________________________
Guest 5 ______________________________________________________________________________________________
Guest 6 ______________________________________________________________________________________________
Guest 7 ______________________________________________________________________________________________
Guest 8 ______________________________________________________________________________________________

St. Lawrence Student Name(s) and Class Year:

SLU Student 1 ____________________________________________________________________
SLU Student 2 ____________________________________________________________________
SLU Student 3 ____________________________________________________________________

5K Walk/Run to Benefit Susan G. Koman Breast Cancer Fund
(registration and payment for this event can be made at the event).

Number of Participants __________ x $20.00 = ___________ Total for 5k Walk/Run __________

Name of Participant 1: __________________________________________________________
Name of Participant 2: __________________________________________________________
Name of Participant 3: __________________________________________________________
Name of Participant 4: __________________________________________________________
Name of Participant 5: __________________________________________________________
Name of Participant 6: __________________________________________________________

Family Weekend Registration Summary
Number of Adults   x $35 =  
Number of St. Lawrence Students   x free =
0
Number of Children (6-12 yrs)   x $10 =  
Number of Children (5 and under)   x free =
0
Number 5k Walk/Run Participants   x $20 =  
TOTAL REGISTRATION FEE DUE:
  

Please print this form, complete the information and mail it
with your check, made payable to St. Lawrence University, to:
Family Weekend Registration
Student Activities and Leadership
Sullivan Student Center
St. Lawrence University
Canton, NY 13617

We hope you enjoy Family Weekend at St. Lawrence University!
Your registration packet will be waiting for you in the Sullivan Student Center.

     If you have any problems or questions, please contact: Timberly Hewitt
315-229-5755 (phone) -thewitt@stlawu.edu (email)