BLOUNTVILLE HIGH SCHOOL

1960-1968 SENIOR PROM AND REUNION

REGISTRATION FORM

PLEASE PRINT THIS FORM AND MAIL WITH REGISTRATION PAYMENT

(DON'T FORGET VOTE FOR THE HUNK OR BEAUTY FROM YOUR CLASS) 

1. Name: _______________________________________________________

    Spouse: ______________________________________________________

2. Address: _____________________________________________________

                 ______________________________________________________

3. E-mail: ______________________________________________________

4. Contact Phone: _______________________________________________

5. Year of Graduation: ____________________________________________

Spouse Graduation year if BHS Graduate: ______________________________

6. Nomination for Class Beauty: _____________________________________

7. Nomination for Class Hunk: ______________________________________

8. Number of guests attending: _____________________________________

 

Please send Check or Money Order to:

B.H.S. "Senior Prom" 2009 Committee

Cost per couple - $50

Cost per single - $25

Please send all registration fees before September 18, 2009. For late registration please call 1-423-723-3487.

Mail registration fees to:

 BHS Reunion Committee

 2023 Weaver Pike

Brookside Townhouses, #6

Bristol, Tennessee 37620