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Name *

First

Last

Year of Graduation for Alumni: *

Address *

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State

Zip Code

Country

Email *

Phone Number *

Payment & Ticket Details

Payment may be via cash, check, credit card, or paypal
No tickets will be mailed
RSVP by March 1st for Early Bird Cost of $40
Guests will check-in at the door
Gaming Table Sponsor please contact Jonathan Henricksen at: henricksen@santaclarahighschool.com

Registration Information *

$40 Early Bird Ticket (Dinner, 1 Drink Ticket, 1 Raffle Ticket, Chips) $50 Ticket (Dinner, 1 Drink Ticket, 1 Raffle Ticket, Chips) Make a Cash Donation

Number of General Tickets *

Input Name and Address for Each Guest.

Guest #1

Name *

First

Last

Address *

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City

State

Zip Code

Country

Year of Graduation for Alumni: *

Email *

Phone Number *

Guest #2

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Year of Graduation for Alumni: *

Email *

Phone Number *

GUest #3

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Year of Graduation for Alumni: *

Email *

Phone Number *

Guest #4

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Year of Graduation for Alumni: *

Email *

Phone Number *

Casino night: Register Now

Input Name and Address for Each Guest.

Guest #1

Guest #2

GUest #3

Guest #4

payment options