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REGISTRATION FORM

Reunion ADAIR CO. HIGH SCHOOL Classes 1981-1987
Friday, June 3, 2011 - Saturday, June 4, 2011 - Sunday, June 5, 2011
at Lure Lodge, Jamestown, KY

*Registration & Money Due by April 20th, 2011*

$10.00 Per Person / Per Night for Activities
Number Attending
________________ Friday Night

________________ Saturday Night

For Room Reservations: 800-325-1709
Ask for Eric Goodin

Saturday Golf Scramble at Lakewood 12:00- 5:00pmCT

$25.00 per person (includes green fees & cart)

Number Playing
_______________ Saturday Golf Scramble

Total Amount Paid _________________
Our group has members from the Adair County High School Class(es) of - enter year(s) : _ _ _ _, _ _ _ _, _ _ _ _, _ _ _ _, _ _ _ _, _ _ _ _, _ _ _ _, _ _ _ _, _ _ _ _, _ _ _ _, _ _ _ _.

(Make Checks to: Marian Grant)

Mail to:
Marian Cole Grant
827 Joe Tom Grant Road
Glensfork, KY 42741
or
Tammy Morrison Shelton
68 Shelton Lane
Columbia, KY 42728
(If there is extra money over expenses it will be donated to relay for life or given away as door prizes)

For More Information Contact: Bob Barnes (270) 250-4073; (270) Eric Goodin 634-2184; Marian Cole Grant (270) 378-1782; Tammy Morrison Shelton (270) 378-1556



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