MIAMI HIGH JUBILEE CONTACT INFORMATION FORM
9th Annual Miami High Stingaree Jubilee in the Heartland
January 25-26, 2019
If you are using this form on a cell phone, we recommend that you turn the phone horizontlly.
You MUST click on the CONTINUE button at the bottom to continue registration
Attendee Information
Graduation Year
First Name
Please select one of the items below. If you plan to attend please select the events you will attend.
Middle / Maiden Name
So that we may have estimates of attendance please enter the number or people planning to attend
Friday Events
Last Name
Golf Tournament
Street Address
Alumni Athletes, Cheerleaders, Band, Orchestra, Majorettes and Flagettes Dinner
Address (cont.)
“All Years” Alumni Dinner
Other Dinners
City
State
Saturday Events
The Luncheon at Homer's Restaurant
Zip/Postal Code
MHS Stingaree Jubilee *
Home Phone
eg. 305-111-2222 for US phone numbers
Cell/Work Phone
E-mail
specify Fax if appropriate (e.g. fax 305-444-9999 for US phone numbers)
Alternate phone or email
Spouse or Guest Information (optional)
First Name
Middle / Maiden
Last Name
Payment Deadline for this event -
January 14, 2019
* Please Note:
MHS Stingaree Jubilee Cost is $25 per person
Make Checks Payable to MHS Jubilee Sebring FL
and mail to:
Bill Eades
9301 SW 41 Terr.
Miami, FL 33165
School Attended
Select a State
Not in USA
I would rather not say
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
This is to provide my information only
I will be participating in the following:
You MUST click on the CONTINUE button
below to complete registration
Graduation Year
Please note this information will REPLACE any currently in our records; so blank fields may overlay current content.