Kids and Sibs and Parents Too

Registration

Please register by November 20, 2009

By Phone: (708) 524 -6822
By Fax: (708) 524- 6659

Dominican University students and their younger brothers, sisters, nieces, nephews, cousins or other young members are invited to attend the weekend activities. Parents are welcome at all events.

Note:
Dominican University students must be with their guests for all of the activities and are responsible for their well-being and care. For students who wish to house their guests in their residence hall room overnight, please check with your roommate.

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Events:

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We would like to know how many people to expect at each event, Please indicate the number of guests attending, including Dominican University students.

Saturday, December 5
Children’s Christmas Party
Performing Arts Center production of Free to be You and Me
Mass in the Rosary Chapel
Resident Student Association evening social events

Sunday, December 6
Siena Center screening and lecture of It’s a Wonderful Life

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Costs:

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Please include the Dominican University student in all costs.

Children’s Christmas Party:
For families of less than four people attending:
Per person charge
$5 per person

For families of four or more people attending:
Family Pass
$20 per family

Performing Arts Center production of Free to Be You and Me
$10 per person

Siena Center screening and lecture of It’s a Wonderful Life
*DU students are free to attend this event.
The commentary and discussion are appropriate for ages 13 and up.

For families of less than four attending:
Per person charge
$5 per person

For families of four or more people attending:
Family Pass
$20 per family

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Name of Dominican University Student: *
Street Address/Residence Hall: *
Street Address 2:
City: *
State: *	Illinois Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip: *
Phone: *
Email: *
Are you a:*	Resident Student Commuter Student
Number of children attending: You are welcome to bring up to three children per adult.	0 1 2 3
Name and age of children (ie: John, *):
Please list the name and relationship of family members attending the program (ie: Jane, Mother):
Please indicate the number of people attending the Children's Christmas Party:	0 1 2 3 4 5 6 7 8 9 10
Please indicate the number of people attending the Performing Arts Center Free to Be You and Me:	0 1 2 3 4 5 6 7 8 9 10
Please indicate the number of people attending the 5:00 p.m. Saturday Mass:	0 1 2 3 4 5 6 7 8 9 10
Please indicate the number of people attending the Residence Hall Association Kids Night event:	0 1 2 3 4 5 6 7 8 9 10
Please indicate the number of people attending the Siena Center It's a Wonderful Life:	0 1 2 3 4 5 6 7 8 9 10
Payment (information for actual payment after you submit the form):	Check Credit Card
Please enter the security code: *