AnteaterNews - UCI Parent Day

Parents Day Reservations
Parents Day is intended for parents only. Students should not be attending. * = required field.

PARENT/GUARDIAN 1
Name *	first	last
Attending Parents Day ($35.00) * yes no
Street Address
City/State/Zip
Phone
E-mail *

PARENT /GUARDIAN 2
Name	first	last
Attending Parents Day ($35.00) * yes no
E-mail
	I would like a copy of the e-mail confirmation as well.

STUDENT
Information will be used to connect students and their families in our database.
Name *	first	last
Student ID

Student Lunches
If you would like to add lunch for your student(s), you may do so here.
Number of students joining you for lunch	@ $15 per lunch

NOTE: There will be a $10.00 cancellation fee if you cancel a reservation. Cancellation deadline is 11/02/2009 at 12noon; (949) 824-5182.