Hialeah High Class of 1984
25th Class Reunion Registration

The total cost of the one night event is $75 per person. Payment can be made in FULL
or a non-refundable DEPOSIT of $37.50 per person can reserve your reunion ticket(s).
Please note the balance must be paid in full by July 17, 2009.

Firstname		Lastname		Maiden Last Name
Address		City		State	Zip
Home Phone		Cell Phone		Will You Be Bringing A Guest	YesNo
Email		Payment method	Credit Card (Paypal) Check
		Payment options	Full paymentDeposit
* DISCLAIMER: I will hold harmless Hialeah High 1984 Reunion Committee, Inc. and its directors from and against all claims, damages or cost of any nature, including personal injuries or property damage, direct or indirect liabilities caused, incurred or sustained by me and/or my guests in conjunction with the Event, and the cost and expenses(including attorneys' fees) or defending against such claims. If you are in agreement with the above, please type in the code and click Submit to proceed.
Verification code