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.