Name:
(First) (Maiden) (Last)
Address:
City: State: Zip:
Phone: E-mail:
Years attended: Hillsdale degree earned:
Other degrees earned:
Where I am now:
Spouse name:
(First) (Maiden) (Last)
Years attended: Hillsdale degree earned:
Other degrees earned:
Where I am now:
Children (include birthdates):
Memory Lane Walk – Share your favorite “remember when. . .” or fondest memory of your time at Hillsdale.
Number of Adults Attending:
Number of Children Attending:
Cost of Attendance
The registration fee is $10 per adult. Children ages 12 and under are free. Attendees who register online may pay registration fees through PayPal on the next page or send them by postal mail.