Class of 2000: Reunion Registration Form
Register online at www.alumni.cornell.edu/reunion or return this completed form with payment by May 24, 2015 to:
Cornell Class of 2000, Alumni Affairs, P.O. Box 6554, Ithaca, NY 14851-6554
For Reunion Information: David Chipurnoi, Reunion Co-chair, david.chipurnoi@gmail.com Erin Flinn, Reunion Co-chair, eflinn@gmail.com Kristen Sweeney, Registration Chair, kristensweeney@yahoo.com
Classmate Information
Cornell Net ID
First Last Maiden (if applicable)
Please print your name as you would like it to appear on your button; we encourage inclusion of maiden name. E-mail address
Street address
Preferred phone
College
City
Mobile phone (used only during Reunion weekend)
State
Zip Code
Vehicle license plate number (for Reunion weekend)
Expected Arrival Date/Time No check-ins before noon Thursday, please.
ARRIVAL DAY:
Thurs.
Fri.
Sat.
Time:
am / pm EST
During Reunion, your picture may be taken by a University Photography staff member and possibly used for future Cornell-related media purposes. If you do not
want your image used, you are responsible for notifying the photographer at the time the photo is taken. University Photography will delete the image on the spot.
I agree to have my name listed on the class and university website as attending Reunion.
Yes
No
Yes, this is my first time back for Cornell Reunion.
If you or your guest have special medical or mobility needs, please contact David Chipurnoi.
Emergency Information: For use during the Reunion weekend. Must list someone NOT accompanying you to Ithaca.
Emergency contact name
Preferred phone
Relationship
Meals For special dietary needs, please specify. # of Gluten-Free
# of Vegan
# of Vegetarian
# of Kosher
I have a life threatening dietary restriction. Please explain below: (We may not be able to accommodate all dietary requirements; please contact your
Reunion representative if you have concerns).________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
Guest Information Please print your name as you would like it to appear on your button.
Guest
Cornellian: maiden name (if applicable), class, and college
Cornellian: maiden name (if applicable), class, and college
Guest
Child
Child
Cornell Net ID
Age (as of 6/04/15)
Child
Age (as of 6/04/15)
Cornell Net ID
Age (as of 6/04/15)
Child
Age (as of 6/04/15)
Class Registration
Please refer to the registration brochure for the various fee options and what is included in each option. Prices are per person.
Adults
Full weekend (Arrival Thursday–Sunday)
Partial weekend (Arrival Friday–Sunday)
Mini weekend (Arrival Saturday–Sunday)
Bring your Own Babysitter
Early Bird Fee
(by midnight EST 5/10)
Regular Fee
(after 5/10)
OR
#
#
#
#
@ $245
@ $225
@ $190
@ $125
#
#
#
#
@ $270 @ $250 @ $215
@ $125
=
=
=
=
$
$
$
$
A special package available to attendees 16 and older attending Reunion 2015 to provide care to a registered child and their registered adult guardian(s).
Children:
Infant (<1) _
Child 1–5 years _
Child 6–12 years IN Kids Club *
Child 6–12 years NOT in Kids Club
Child 13+ years IN Kids Club *
Child 13+ years NOT in Kids Club
Youth 16-20
_
#
#
#
#
#
#
#
FREE @ $35
@ $35
@ $50
@ $50
@ $100
@ $100
= $
= $
=$
=$
=$
=$
=$
Optional:
10th and 15th Reunion Intro to Wines Class; For the Cornellian who might have forgotten the
definition of tannic, this is your refresher course. HADM 4300 - Reunion edition,
Cornell lecturer is Cheryl Stanley ‘00.**
#
@ $10
= $
*This form does NOT enroll and/or cover fees for the Kids Club (formally know as the University Youth Program). See www.alumni.cornell.edu/reunion for more info.
**Please note that no one under the age of 21 will be permitted to attend the Intro to Wines Class. Please consult the Reunion website for childcare options: www.alumni.
cornell.edu/reunion/childcare.cfm
TOTAL REGISTRATION FEE
=$
Friday and Saturday All-Alumni Lunch: Please consider joining other alumni for an intergenerational Big Red buffet in the Terrace Restaurant at the Statler
Hotel. Tickets for purchase at the door: $15 for adults, $10 for children ages 4-10, cash or credit card only. Pre-registration is not available.
Housing
The university residence hall charge is $62/adult per night, or save $40 by staying all 3 nights at a total cost of $146/adult. Children’s rates are $32/child
per night (age 12 and under), or save $32 for all 3 nights at a total cost of $64/child. There is no charge for children who do not need a bed (sleep in portacrib, on the floor, etc.) and stay in a parent’s room.
The Class of 2000 headquarters will be located in Low Rise #9.
I/We will be staying off-campus. Please indicate where:
I/We will be staying on campus. Total number of adults
X $146.00 for all 3 nights OR
Total number of adults
X Total nights
X $62.00 per night AND
Total number of children
X $64.00 for all 3 nights
OR Total number of children
X Total nights
X $32.00 per night =$
=$
=$
=$
= $
TOTAL CLASS HOUSING FEE
I would like to be housed near
Please remember that we will do our best, but we may not be able to accommodate all requests.
If you have a mobility impairment that requires a special housing assignment (near entrance, first floor, etc.), please explain below.
Special housing assignments can only be made if registration forms are postmarked by 5/24/15.
Special housing need:
Payment
If you are paying with a credit card, please consider using our secure online system to register.
Subtotal for class registration (from above) = $
Subtotal for housing (from above)
= $
TOTAL AMOUNT DUE
I have enclosed a check made payable to Cornell Class of 2000. Check #
I am using my Visa / MasterCard / Discover / American Express (circle one). Credit Card #
Name as it appears on your credit card
=$
Expiration Date
Signature/Date
Receipt of your registration will be acknowledged.
Until May 24, 2015, all registrations are fully refundable. Refunds may not be processed until after Reunion weekend.