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
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