Viterbo University - The University of Opportunity: Hope and Help

                                    

Registration Form for 

Alumni Weekend 2012

part of Viterbo Days!

 

 ViterboDaysLogo 
 

Reservations must be paid for and reach the Alumni Office by Monday, Oct. 3. 
Call 608-796-3076 with payment information, or mail to Viterbo University Alumni Office, 900 Viterbo Drive, La Crosse, WI 54601 or fax to 608-796-3083. 
After October 4, 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. 21 for a special discount! 

 
Number Attending
 
  Cost
 
Cost after
Sept. 21st
 
        Please enter Total
 
 Spaghetti Dinner 
 

  Adult

  Child
 (age 10 and under)

$8

$5

$10

$7

  $
 
 DSOB Open House
 		   

No charge
 


 
 
 Alumni Night at the Theatre
 		   

 $19

$24

  $  
5K Fun Run/Walk

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

$15

$20

  $  
 Heritage Historic Walk

An additional registration form with waiver must be completed for each participant.
 		  
 		  No charge    
 Children's Alumni Dash

An additional registration form with waiver must be completed for each participant.
 		  
 		 $5
 		 $5
 		  $  
 Chapel Tour    

No charge

 

  
 Viterbo Days Brunch    

Pay at the door

    
 Campus Tour    

No charge

    
 Viterbo Mission Seminar    

No charge

    
 Brat and Burger Tailgate    

Pay at the door

    
 Liturgy    

No charge

 

  
 Alumni Awards Ceremony and Social
 		    No charge
 
 		  
     
 TOTAL
 		  $