To pay by credit card, register online at www.amherst.edu/go/reunion
Amherst College Class of 1971— 45th Reunion
2016 Reunion Registration Form
Name:
______________________________________________________________________________________________________
First Name
M.I.
Last Name
Class Year
Address: ______________________________________________________________________________________________________
Street
Email:
City
State
Zip
______________________________________________________________________________________________________
Home Phone: _______________________________________ Mobile Phone: __________________________________________
I/we expect to arrive on campus:
please circle
Wednesday, May 25
Before 6 p.m.
After 6 p.m.
Thursday, May 26
Before 6 p.m.
After 6 p.m.
Friday, May 27
Before 6 p.m.
After 6 p.m.
Saturday, May 28
Before 6 p.m.
After 6 p.m.
This contact information is new
GUEST INFORMATION: Please list the names of your guests. If any guests are Amherst alumni, please list their
class year. For children 15 and under, please include birth dates.
___________________________________________________
Name
__________
Class Year
________________________________
*Birth date (for children 15 and under only)
___________________________________________________
Name
__________
Class Year
________________________________
*Birth date (for children 15 and under only)
___________________________________________________
Name
__________
Class Year
________________________________
*Birth date (for children 15 and under only)
___________________________________________________
Name
__________
Class Year
________________________________
*Birth date (for children 15 and under only)
CLASS FEES: Class fees include: casual dinner on Thursday, dinner on Friday and Saturday nights, continental
breakfast on Saturday and Sunday, entertainment, cocktails and tour of the Emily Dickinson museum and a souvenir.
$190
Registering alumnus/a
# people ______ x $190 = $______________
$190
Guest (16 and over)
# people ______ x $190 = $______________
$0
Widow/ers
# people ______ x $0
= $______________
$0
Children 15 and under
# people ______ x $0
= $______________
Total Due for Class Fees: $______________
EMERGENCY CONTACT INFORMATION: Please provide the name and telephone number of the person you would
like us to contact should an emergency occur while you are on-campus.
___________________________________________________
Name
_______________________
Relationship
_______________________________
Telephone Number
CHILDREN’S REUNION EVENING PROGRAM: The College offers a special program for children ages 4 to 12 on
Friday and Saturday night from 5 to 10 p.m. You can learn more about the Children's Reunion Evening Program at
www.amherst.edu/alumni/children or by calling Sarah McAlpine at 413-542-8342.
(Please continue on the reverse)
Amherst College 2016 Reunion Registration (continued)
ON-CAMPUS HOUSING: Alumni and their guests will be placed in their class headquarters as much as possible. If your
class headquarters are full, attendees will be placed in another dorm, as close by as we can manage. The dorms on the main
quad have two single beds, and alumni who are coming with guests will be housed in the same room. Most other dorms on
campus are singles, so couples will be housed in adjacent rooms. If your class headquarters is on the main quad and you are
attending without a guest, but would like to be housed with a friend in a double, please include that information below. If you
are bringing a portable crib or an inflatable mattress for a child or guest, you do not need to include them on the form below.
One key will be provided per bed, per room.
All beds are extra-long twins and we provide linens, a pillow and towel. There are no private bathrooms and there is no air
conditioning in any dorm. Room assignments will be available at check-in.
Wednesday, May 25
Total guests 11 and older (including alumni): ______ x $35 = $_____________ Total cost per night
Guests 4-10 years old: ______ x $10 = $_____________ Total cost per night
Guests 3 years old and younger requiring a bed: ______ x $0 = $_____________ Total cost per night
Thursday, May 26
Total guests 11 and older (including alumni): ______ x $35 = $_____________ Total cost per night
Guests 4-10 years old: ______ x $10 = $_____________ Total cost per night
Guests 3 years old and younger requiring a bed: ______ x $0 = $_____________ Total cost per night
Friday, May 27
Total guests 11 and older (including alumni): ______ x $35 = $_____________ Total cost per night
Guests 4-10 years old: ______ x $10 = $_____________ Total cost per night
Guests 3 years old and younger requiring a bed: ______ x $0 = $_____________ Total cost per night
Saturday, May 28
Total guests 11 and older (including alumni): ______ x $35 = $_____________ Total cost per night
Guests 4-10 years old: ______ x $10 = $_____________ Total cost per night
Guests 3 years old and younger requiring a bed: ______ x $0 = $_____________ Total cost per night
Total due for Campus Housing: $____________
Total Class Fees (page one) :
$_______________
+ Total Housing Fees (above):
$_______________
TOTAL DUE:
$_______________
The registration deadline is May 15.
Class fee refunds after that date will be at the discretion of the class; no housing fees will be refunded after that date.
Check Payments: Make checks payable to Amherst College, and mail to:
Amherst College Reunion Registration, Alumni and Parent Programs, P.O. Box 5000, Amherst, MA 01002
ACCESSIBILITY/HOUSING PREFERENCES:
Indicate accessibility needs:
List any classmates you would like to be housed near, if possible:
OFF-CAMPUS ACCOMMODATIONS:
Please check here if you do not require on-campus housing, and let us know where you will be staying:
QUESTIONS?
Please contact your Reunion Co-chairs: John Beeson at 212‐724‐4183 or [email protected] and
Ellen Longsworth at 978-374-7500 or [email protected].