Family Weekend Registration

Family Details:

Student's Name:
Number of Guests Attending:
Name(s):

Place a check next to the events that you are planning to attend:

Mentalist, Sean Bott
Green River Lakeshore Clean-up
Social Security Boys
LWC Football Game *
# of people (LWC students enter free of charge):   x $5/person = $
Pre-Game Tailgate *
# of people (including LWC student):   x $3.50/person = $
Golf at the Pines at Lindsey Wilson
# of players: (pay upon arrival at the Pines)

*

You will be prompted to pay online via credit card after you submit this form.

I would like to pay by check instead.

Please make the check payable to Lindsey Wilson College and send to:

Student Activities
210 Lindsey Wilson St.
Columbia, KY 42728

Please write the student's name in the memo line.

Contact Information:

Address:
City:
State:
Zip Code:
Telephone:
Cell phone:
Email Address: