REGISTRATION FORM
 
South Shore High School
Class of June 1961
Golden Reunion – July 17, 2022
 
Name: First_________________Maiden______________Last_______________________

E-mail address____________________________________________________________

Mailing address___________________________________________________________

City, state, zip____________________________________________________________

Phone: Home________________________Mobile __________________________

Number of people attending @ $39 per person___________________________

Name of guest(s) if any_____________________________________________________

Total enclosed: $________________________________________________________
 
Please print this form and mail it with your check made out to SSHS Class of ‘61. 
Mail it by July 1 to:
 
Morrie Oldham
3801 Mission Hills Drive, #103
Northbrook, IL 60062