Registration deadline: October 3, 2013

* Indicates a required field.

Your name
(as you would like it to appear on your name tag)

*First:

*Last:

Are you a(n) ...
Parent?
Grandparent?
Alumna or Alumnus?
Your student(s)'s name(s):
Your student's class year:

Number in party (include yourself, but do not include your Kenyon student):

Names of others in your party (include class years or children's ages, if applicable):

Please also provide the following information:

Home Address:

Street, Line 1:
Street, Line 2:
City:
State:
Zip:

Is this a new address? Yes: No:

Telephone and Email

Home Phone:
Business Phone:
*Email address:

Family Weekend Fees

Meal tickets are valid in the Peirce dining hall. Meal tickets will not be reserved without receipt of payment. No refunds will be given for meals cancelled after Friday, October 3. Kenyon students with ID cards will be admitted to all regular dining-hall meals free of charge.

Friday Meals

Meal	Number	Amount	Subtotal
Breakfast		@ $5.00	$0.00
Lunch		@ $7.00	$0.00
Dinner		@ $9.00	$0.00

Saturday Meals

Meal	Number	Amount	Subtotal
Breakfast		@ $5.00	$0.00
Lunch		@ $7.00	$0.00
Dinner:		@ $9.00	$0.00

Sunday Meals

Meal	Number	Amount	Subtotal
Brunch		@ $7.00	$0.00

Please note any dietary restrictions or special needs:

Registration Fee ($10 individual, $20 family):

$0.00

Your Current Total:

$0.00

Note: Calculating totals will also warn you of any errors in your submission