Avila University - Alumni Basketball Game Registration Form

Alumni Association

STAT
(Students Today, Alumni Tomorrow)

Alumni Partners

Class Notes

Alumni Office
816-501-3780
E-mail: Alumni@Avila.edu
(Located in Blasco Hall)

Avila University
11901 Wornall Rd
Kansas City, MO 64145

Saturday, February 9, 2013

For information regarding this event, contact
Vanessa Herring at (816) 501-3780.

Registration Form

Enjoy free admission to the game and our hospitality room! We'll have plenty of basketball action and great food for our alumni families to keep the excitement (and temperature) high!

12 p.m.	Women's Alumni Basketball Scrimmage

2 p.m.	Women's Basketball vs. Central Methodist U.

4 p.m.	Men's Basketball vs. Central Methodist U.

6 p.m.	Men's Alumni Basketball Scrimmage

* Bold fields required
Name Information		Contact Information
First Name:		Address 1:
Last Name:		Address 2:
Maiden Name:		City:
Spouse's Name:		State:
Class Year:	Format: YYYY	Zip:
Current Employer		Country:
Job Title		Daytime Phone:	- -
		E-Mail:

Are you participating in the Alumni Basketball Game?		Yes No

Guest names, adult status, and age (if child)
Guest 1 Name:			Age, if child:
Guest 2 Name:			Age, if child:
Guest 3 Name:			Age, if child:
Guest 4 Name:			Age, if child:

If there are more email Vanessa Herring with their name, adult status, and age if a child.