Who are you?

Please check if you are:(*)

• An international alum     /     Choose a Class Year: 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
• Current or former NWC faculty/staff
• Family or friend of an international alum
• Current or former host family

How definite are your plans for attending? (*)

• I'm definitely coming       I'm not sure, but I want to

Contact Information

First Name: (*)

Last Name: (*)

Phone: (*)

Email: (*)

Address: (*)

Address (continued):

City: (*)

State: (*)

Zip/Postal Code: (*)

Country: (*)

Who is coming with you?

How many people are coming with you: (*)

Choose One 0 1 2 3 4 5 More

Will you be bringing any children?

Yes       No

If yes, what are the chilren's ages?

Will you require child care?

Yes       No

Lodging

Are you planning on staying in a residence hall on campus? (*)

Yes       No

If yes, how many people will require lodging in a residence hall?

Choose One 0 1 2 3 4 5 More

Activities

Choose the activities you would be interested in (check as many as you want):

• Buffalo Bill Historical Center
• Cody Trolley Tour
• Horseback Riding
• Hiking
• Rafting
• Golf
• Rodeo
• Dinner and dance downtown
• Barbecue
• Talent Show
• Karaoke
• Special activities for children

Please list any activities you would be interested in that are not on the above list:

Comments/Questions

Comments / Questions: