Remember Rockford Registration

Register Online! Remember Rockford Reunion
September 12th, 2015
Come out and join the fun! We’ll have music for your enjoyment, family speakers to share family history, genealogy information available and a delicious BBQ lunch! Bring a lawn chair and your family histories and family trees and let’s have a great time together as one big Rockford family!

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

BBQ lunch (choose all that apply): *

(1) Adult - BBQ lunch with all the fixings - $10.00 (2) Adults - BBQ lunch with all the fixings - $20.00 (3) Adults - BBQ lunch with all the fixings - $30.00 (1) Child - BBQ lunch with all the fixings - $5.00 (2) Children - BBQ lunch with all the fixings - $10.00 (3) Children - BBQ lunch with all the fixings - $15.00

Please list the names of each Family Member Being Registered: (Please provide child's age.) *

Rockford Connection *

Click to Pay

*You will be navigated to the Rockford Preservation Society's paypal secure payment site. Please pay for the total amount of registrants. Example: 2 adults + 1 child = $25