ALUMNI WEEKEND 2013 Registration Form



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ALUMNI WEEKEND 2013 Registration Form Alumni planning to attend Alumni Weekend must make advance reservations. There are two easy ways to register: By Mail: University of Connecticut Alumni Association, Attn: Alumni Weekend, 2384 Alumni Drive, U - 3053, Storrs, CT 06269-3053 Online: UConnAlumni.com/AlumniWeekend Phone: 888.822.5861 or 860.486.2240 Fax: 860.486.2849 First Name Maiden Name (if applicable) Last Name Class Year School/College Affiliation Home Address City State Zip Telephone (day) Telephone (evening) Email Address Guests Please print the name of your spouse and/or guest as you would like it to appear on a nametag (include a maiden name, if applicable). Please list additional guests on the back of the form. Full Name Class Year School/College Affiliation (if applicable) 1

On-Campus Dormitory Housing Rooms are limited in number and will be assigned on a first-come, first-serve basis Thursday, June 6 60.00 80.00 Friday, June 7 60.00 80.00 Saturday, June 8 60.00 80.00 My roommate will be (optional): Subtotal: Rooms are available at the Nathan Hale Inn located on the Storrs Campus for 129 a night. To inquire about availability please call the hotel directly at (860) 427-7888 and reference Alumni Weekend, or book online with the code ALUM. Phone and internet reservations must be made by Wednesday, May 8th. Friday, June 7 # of People per Person Total Cost 9 a.m. 11 a.m. School of Nursing Welcome Breakfast and Program Widmer Wing, School of Nursing Building 10.00 11:30 a.m. 1 p.m. Class of 1963 Welcome Luncheon South Reading Room, Wilbur Cross 25.00 1:30 p.m. 3 p.m. Then and Now Tour Starting Point: School of Nursing 2

Friday, June 7 continued # of People per Person Total Cost 3 p.m. 5 p.m. School of Business Class of 1963 Alumni Reception 3rd Floor, School of Business 5:30 p.m. 8 p.m. Class of 1963 Alumni Dinner and Reception Great Hall, Alumni Center 50.00 Saturday, June 8 8:30 a.m. 9:45 p.m. Class of 1963 Reunion Breakfast & Memory Share Pavilion, Nathan Hale Inn 15.00 10:00 a.m. 11:30 a.m. Campus Tours Choose One Starting Point: UConn Co-Op Then & Now Tour (bus only) Horsebarn Hill & Dairy Bar Tour 12:00 p.m. 3 p.m. Taste of UConn South Campus Lawn and Patio Taste of UConn admission: Adults (12 and up) Taste of UConn admission: Kids (5 12 years old) Taste of UConn admission: Kids under 5 are free! 20.00 10.00 3

Saturday, June 8 continued # of People per Person Total Cost 2 p.m. 3:30 p.m. Campus Tours Choose One Starting Point: South Campus Horsebarn Hill & Dairy Bar Tour Secrets of UConn Tour 4 p.m. 5:30 p.m. UConn Alumni Association Annual Meeting Great Hall, Alumni Center (all dues-paying members of the Alumni Association are invited to attend) 4 p.m. 5:30 p.m. Puerto Rican/Latin American Cultural Center 40th Anniversary Reception Student Union, Room 348 6 p.m. 9 p.m. 43rd Annual School of Pharmacy Awards & Reunion Dinner Rome Ballroom (Please call the Pharmacy Alumni Office at 860.486.0244 for more information) Alumni Weekend Food Accommodations Please note any food allergies or if you request a vegetarian meal so our staff can make the necessary arrangements. 4

UCAA Membership Members of the Alumni Association will receive a special gift at Alumni Weekend check-in! Yes! I am a proud member of the UConn Alumni Association. No, I am not a member. I would like to join today! Please add the following membership rate to my registration: Annual 50.00 Annual Joint 60.00 Spouse Name: Membership Total: For Additional Membership options, please visit us online at UConnAlumni.com/Membership Payment Information Total fees for Alumni Weekend activities: On-campus housing (total from page 2): Alumni Association Membership total: Grand Total: Method of Payment For payment to be complete, payment for above listed activities is required at time of registration. Enclosed is my check payable to the UConn Alumni Association. Please charge my credit card: Visa Mastercard American Express Card Number CVN # Expiration Date Card Holder Name Authorized Signature A confirmation letter including campus directions will be mailed upon receipt of your payment. All registration materials will be distributed upon arrival at Alumni Weekend check-in. If you have questions please call toll-free (888)-822-5861 or email AlumniWeekend@UConnAlumni.com 5