University of North Carolina Wilmington 2012 Family and Alumni Weekend Registration Form All contact information is required for the primary attendee. Primary Contact First Name: ____________________________ Primary Contact Last Name: ____________________________ Mailing Address: _____________________________________________________________________________________________ STREET CITY Phone: ______________________________________ Attendee is a: □ Parent of a UNCW Student STATE ZIP Email: ______________________________________ □ UNCW Student □ UNCW Alumni □ Other Additional Attendees First Name: _______________________________________________ Attendee is a: □ Parent of UNCW Student □ UNCW Student First Name: _______________________________________________ Attendee is a: □ Parent of UNCW Student □ UNCW Student First Name: _______________________________________________ Attendee is a: □ Parent of UNCW Student □ UNCW Student First Name: _______________________________________________ Attendee is a: □ Parent of UNCW Student □ UNCW Student First Name: _______________________________________________ Attendee is a: □ Parent of UNCW Student □ UNCW Student First Name: _______________________________________________ Attendee is a: □ Parent of UNCW Student □ UNCW Student Last Name: ______________________________________ □ UNCW Alumni □ Other Last Name: ______________________________________ □ UNCW Alumni □ Other Last Name: ______________________________________ □ UNCW Alumni □ Other Last Name: ______________________________________ □ UNCW Alumni □ Other Last Name: ______________________________________ □ UNCW Alumni □ Other Last Name: ______________________________________ □ UNCW Alumni □ Other Event Registration Fort Fisher Aquarium Kayaking Trip 1: Harbor Island Sunset Paddle Honors Scholars Afternoon Faculty & Student Tea Friday, September 21, 9:00 a.m. – 5:00 p.m. Price General $6 Children under 12 $4.50 Friday, September 21, 3:00 -7:00 p.m. Quantity x __________ x _________ Subtotal $ __________ $ _________ Price $25 $18 Quantity x __________ x _________ Subtotal $ __________ $ _________ Price FREE Quantity x __________ Subtotal $ __________ Price $2 Quantity x __________ Subtotal $ __________ Price $10 FREE Quantity x __________ x __________ Subtotal $ __________ $ __________ Price $8 $6 Quantity x __________ x __________ Subtotal $ __________ $ _________ Price FREE Quantity x __________ Subtotal $ __________ Price $2 Quantity x __________ Subtotal $ __________ Price $5 Quantity x ___________ Subtotal $ ___________ General UNCW Student Friday, September 21, 4:00 p.m. All ACE Blockbuster – 7 PM Showing Friday, September 21, 7:00 p.m. General Music Department Alumni Concert & Reception Friday, September 21, 7:30 p.m. Ghost Walk of Wilmington 1 General UNCW Student Friday, September 21, 8:00 p.m. Bingo General Children under 12 Friday, September 21, 9:00 p.m. ACE Blockbuster – 10 PM Showing General Friday, September 21, 10:00 p.m. General Sweat in the Sun 5K Run Saturday, September 22, 8:00 a.m. General Chi Omega 7th Annual Golf Tournament Kayaking Trip 2: Sharkstooth Island Paddle Saturday, September 22, 9:00 a.m. – 1:00 p.m. Price Quantity General $70 x __________ UNCW Faculty/Staff $65 x __________ UNCW Student $65 x __________ Saturday, September 21, 9:00 a.m. – 1:00 p.m. Subtotal $ __________ $ __________ $ __________ x __________ x _________ $ __________ $ _________ Saturday, September 22, 9:00 a.m. - 5:00 p.m. Price Quantity General $10 x __________ Children 6-11 $5 x __________ Children under 6 FREE x __________ Saturday, September 22, 9:00 a.m. - 1:00 p.m. Subtotal $ __________ $ __________ $ __________ General UNCW Student Battleship North Carolina Tours Seahawk Extreme Adventure (SEA) Challenge Course 1 Quantity x __________ x __________ Subtotal $ __________ $ __________ Price Quantity General FREE x __________ Saturday, September 22, 11:00 a.m. - 1:30 p.m. Price Quantity General $12 x __________ Children under 10 $5 x __________ Subtotal $ __________ General UNCW Student Golden Wing Reunion Invitation Only Family Picnic UNCW Alumni Day at the Beach Randall Library Synergy Conversation UNCW Volleyball v. Georgia State Sammy’s Campus Crawl Hollywood Location Walk 1 Kayaking Trip 3: Masonboro Island Paddle Nuestra Familia y Amigos Meet and Greet Legacy Pinning Ceremony $25 $18 Price $12 $10 Saturday, September 22, 10:30 a.m. Saturday, September 22, 11:00 a.m. - 3:00 p.m. Price Quantity Beach & Transportation FREE x __________ Beach Event Only (no FREE x __________ transportation needed) Saturday, September 22, 1:00 – 2:00 p.m. Price Quantity General FREE x __________ Subtotal $ __________ $ __________ Subtotal $ __________ $ __________ Subtotal $ __________ Saturday, September 22, 2:00 p.m. Price General FREE Saturday, September 22, 2:00 – 5:00 p.m. Price General (2 participants per $10 team) Quantity x __________ Subtotal $ __________ Quantity x __________ Subtotal $ __________ Price General $8 Children under 12 $6 Saturday, September 22, 2:00– 6:00 p.m. Quantity x __________ x __________ Subtotal $ __________ $ __________ General UNCW Student $25 $18 x __________ x _________ $ __________ $ _________ Saturday, September 22, 3:00 – 4:00 p.m. Price General FREE Quantity x __________ Subtotal $ __________ Saturday, September 22, 2:00 p.m. Saturday, September 22, 4:00 p.m. - 5:00 p.m. This Event is Only for Legacy Students and Family Price FREE Quantity x __________ Subtotal $ __________ Price $8 $6 Quantity x __________ x __________ Subtotal $ __________ $ __________ Price $3 $2 Quantity x __________ x __________ Subtotal $ __________ $ __________ Price FREE Quantity x __________ Subtotal $ __________ Price General $8 Children under 12 $6 Saturday, September 22, 9:00 – 11:00 p.m. Quantity x __________ x __________ Subtotal $ __________ $ _________ Price Quantity General $3 x __________ UNCW Student $2 x __________ Sunday, September 23, 9:00 a.m. – 2:00 p.m. Price Quantity General $7.91 x __________ Subtotal $ __________ $ __________ General Hollywood Location Walk 2 Saturday, September 22, 4:00 p.m. Tealin’ Like A Star General Children under 12 Saturday, September 22, 8:00 p.m. ACE Blockbuster – 8 PM Showing General UNCW Student Saturday, September 22, 8:00 p.m. Ghost Walk of Wilmington 2 General Saturday, September 22, 8:00 p.m. Argentine Music and Dancing – The Tami Trio of Buenos Aries Wagoner Hall Brunch Seahawk Extreme Adventure (SEA) Challenge Course 2 Sunday, September 23, 9:00 a.m. - 1:00 p.m. General UNCW Student Hollywood Location Walk 3 Subtotal $ __________ Price $12 $10 Quantity x __________ x __________ Subtotal $ __________ $ __________ Price $8 $6 Quantity x __________ x __________ Subtotal $ __________ $ __________ Sunday, September 23, 10:00 a.m. General Children under 12