Alumni Weekend 2025 On-Site Registration Form Alumni Weekend 2025 On-Site Registration Form People attending Alumni Weekend 2025 "*" indicates required fields PhoneThis field is for validation purposes and should be left unchanged.Name* First Middle Last Email* Enter Email Confirm Email Medical Title* MD PA PhD HS Class Year*Names of Additional People in Party Add RemoveActivity*Please select one or more of the options below. Celebrating Classes Dinner Alumni & Guests Annual Tailgate – Adult (13+) Annual Tailgate – Child 12 & under Annual Tailgate – Child under 2 Annual Tailgate – Current COM Student Additional Meal(s) Celebrating Classes Dinner Alumni & Guests Quantity Price: $100.00 Quantity Annual Tailgate – Adult (13+) Quantity Price: $35.00 Quantity Annual Tailgate – Child 12 & under Quantity Price: $15.00 Quantity Annual Tailgate – Child under 2 Quantity Price: $0.00 Quantity Annual Tailgate – Current COM Student Quantity Price: $20.00 Quantity Additional Meal(s) Quantity Price: $10.00 Quantity Total Disclosure of Financial Responsibility*By signing, I acknowledge that I am responsible for all fees related to my participation in the event. This includes, but is not limited to, registration fees, additional activities and any costs associated with my guests’ attendance. Payment is due within 30 days of the date below.Date*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920CAPTCHA
