Please fill out a registration form for EACH person attending.

First Name:*
Last Name:*
Maiden Name
Email Address:*
Mailing Address:*
City/Town:*
Province/State:*
Country:*
Postal/Zip Code:*
Home Phone:*
(include area code)
Alumni staff may share my contact information with classmates and friends
My name can be posted on the Briercrest Website so friends can see I am coming.

Registration

$100.00/person
Includes 2 nights of dorm accommodation*, weekend meals, Graduation banquet and Sunday breakfast with the President       

*Our dorm room accommodations do not include bedding or towels although we are happy to accommodate that need; if you would like to have this provision for your stay, please contact Melanie Fawcett in advance and arrangements for linens will be made for you at a $20.00/set charge 

Meals only - $75/person

Saturday meals only - $40/person

Other:  
 

Pilgrim Inn - please reserve directly by calling 756-5002 or 1-877-355-5002(toll free)
RV Hook ups - $20per night – please reserve with Melanie Fawcett ((306)756-3251 or email alumni@briercrest.ca

*Our dorm room accommodations do not include bedding or towels although we are happy to accommodate that need; if you would like to have this provision for your stay, please contact Melanie Fawcett in advance and linens will be arranged at $20.00/set.


Payment

Cheque: Please make your cheque payable to Briercrest College and Seminary

VISA/MasterCard: (You will need to call us with your credit card information for payment, instructions are on the next page)

   
  Duplicate the code in the box provided to complete your submission