2013 Coast to Coast Event in New York


The information entered here will be sent to the Office of Alumni Relations via a secure line. We request your advanced registration so that the hosts may plan accordingly.

* denotes a required field

Personal Information
First Name*
Last Name*
Last Name at Hotchkiss (Maiden Name)
Email*
The following is a home or business address.
Is this a new address? Yes No
Address Line 1*
Address Line 2
City*
State/Province* (U.S. residents)
Zip/Postal Code*
Country
Home Phone*
(for non-US phone numbers, please provide the country code)
Day/Business Phone
Primary Relationship to Hotchkiss* Class of
Child(ren)'s Class Year(s)
How did you learn about this event?
Registration Fee Information
Classes 2009-2013
and their guests
All other classes, parents, friends, and their guests
Cost per person $15 $30
Event Information
Event Location and Date*
Total number in your party
Total $
Your name as you wish it to appear on your nametag
Adult Guest Name(s) Guest is a
as you wish them to appear on name tag
Adult Guest Name(s) Guest is a
as you wish them to appear on name tag

Special Requirements (food allergies, mobility issues, etc. for you and/or your guests)

Questions or Comments

Clicking on "Next" takes you to a confirmation screen that lists all information entered on the registration form, with buttons to Edit or Submit at the bottom of the screen.