Viterbo University - The University of Opportunity: Hope and Help

                                    

Registration Form for 

Alumni Weekend 2013

part of Viterbo Days!

 

 ViterboDaysLogo 

 

Reservations must be paid for and reach the Alumni Office by Wednesday, Oct. 2
Call 608-796-3076 with payment information, or mail to Viterbo University Alumni Office, 900 Viterbo Drive, La Crosse, WI 54601 or fax to 608-796-3050. 
After October 2, please call 608-796-3076 for availability.

 

First Name:  
  
Former Name: 



 

Last Name: 
  
Class Year: 



 

Guest Name(s):   
 

Guest Class Year, if alum:  

Address:    
City:                    State:             Zip:   

Email:          Daytime Phone:   

Cell Phone:   

Please go through the following list and select items you are registering for. The date will determine the price you pay for events.

**Early Bird Registration**
Register by Sept. 27 for a special discount! 

 
Number Attending
 
  Cost
 
Cost after
Sept. 27
 
        Please enter Total
 
 Spaghetti Dinner 
 

  Adult

  Child
 (age 10 and under)

$10

$5

$10

$5

 $
 
 Alumni Night at the Theatre
 
  

 $21


 

 $  
5K Fun Run/Walk

An additional registration form with waiver must be completed for each participant.
 
  

$15

$20

 $  
 Heritage Historic Walk

 
 
 
 No charge    
 Children's Alumni Dash

An additional registration form with waiver must be completed for each participant.
 
 
 
No charge
 

 
 
 Viterbo Days Brunch    

Pay at the door

   
 Alumni Awards Ceremony and Social
 
   No charge
 

 
 
     
 TOTAL
 
 $