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									Kendall School’s 150th Anniversary Reunion                                             Page: _4_ of _9_
Thursday-Saturday, June 14 - 16, 2007
                                          Full Name: ___________________________________________

                                     Registration Form
Personal Information: Please fill out ONE registration form per person if you plan to register more than
one person. Please type or PRINT CLEARLY, check the appropriate box, and mail your registration form
along with a full payment via check or money order payable to Kendall School Alumni Association, c/o
Frederick Pickering, 1114 Morningwood Lane, Great Falls, VA 22066-1609.

First Name/Middle Initial: _________________________________________               □Female □Male
Last Name: ___________________________________________________________________________

#1 Street Address: ______________________________________________________________________

#2 Street Address: ______________________________________________________________________

City: ___________________________________________________________

State/Zip Code: __________________________________________________

Country: ________________________________________________________

Work: __________________________________________□TTY □Voice
Home: __________________________________________□TTY □Voice
Video Phone: ____________________________________________________

Fax: ____________________________________________________________

E-mail: _________________________________________________________


Special Needs:                         Communication Method
                                 □     Close-Vision Interpreter

                                 □     Oral Interpreter

                                 □     Sign Language Interpreter

                                 □     Sign to Voice Interpreter

Kendall School Year:
   (i.e., 1959-1965)           _______________________________ Graduate?               □Yes       □No
KSAA Membership Dues:          Join as a KSAA member to be active for one year:
                                  $5.00 □Active Member (enrolled Kendall School)
                                  $2.50 □Associate Member (wishes to join the KSAA)
Kendall School’s 150th Anniversary Reunion                                                   Page: _5_ of _9_
Thursday-Saturday, June 14 - 16, 2007
                                             Full Name: ___________________________________________

                                        Registration Form
Select one of two                                         Registration Fee
types of combo
and/or check the                                                                              At Door
picnic:                 Double Early Bird Early Bird Combo             Regular Combo         ** Only money
                                                                                             order/cash accepted


1. Combo:                      $150□                  $165 □               $180 □                $195 □
                        Ends Sept 30, 2006        Ends Jan 31, 2007   Ends April 30, 2007   Ends June 14, 2007


2. Non-Combo:            $25 □ Registration Fee (“one-time” basic registration required)
                         $25 □ Pre-Celebration Reception (Thursday evening, June 14, 2007)

                         $25 □ Friday Picnic (Friday afternoon, June 15, 2007)

                         $20 □ Academic Bowl (Friday evening, June 15, 2007)

                         $25 □ Breakfast Buffet (Saturday morning, June 16, 2007)

                         $70 □ Banquet (Saturday evening, June 16, 2007)


Friday Picnic:
(including chicken/
                         $25 □ Adult or Child (12 years and up)
whole pig for adults)    $10 □ Child (age between 6 and 11)

                        Free □ Child (age under 5)

                        For Child: (Select one)
                            □ Hot Dog
                            □ Hamburger
Banquet:                Select one of three Main Entrées:
(Saturday evening,
June 16, 2007)              □ Chicken Breast Dijon
                            □ Roast Prime Rib of Beef Au Jus
                            □ Sesame Salmon
                        Special Request ONLY for Vegetarian: (excluding main entrées)
                            □ Eggplant Parmigiano
Kendall School’s 150th Anniversary Reunion                                                Page: _6_ of _9_
Thursday-Saturday, June 14 - 16, 2007
                                          Full Name: ___________________________________________

                                  Payment Information
Personal checks will not be accepted after April 30, 2007. Only money orders and cashier’s checks will be
accepted at that time.. Late checks will be returned if received past deadline and registration will not be
processed. Service fee for each returned check is $30.00 and registration will not be processed. When a
replacement cashier’s check or money order is received, registration will be processed. ATM is available at
the Kellogg Conference Hotel next to the reservation desk.


                                                                   Date: ___________________________
                           □Cash $_____________
                           □Check $_____________ (Payable to Kendall School Alumni Association)
                           □Money Order $____________
Payment Information:       Signature: _______________________________________________________

                           Note: Service fee for each returned check is $30.00 and registration will not be
                           processed.
                           Please check where you will sleep:
                               □Kellogg Conference Hotel
                               □Other: ____________________________
2007 KSAA Registration Staff Only:

Received on Date: ______________________________________________________________


Processed by: ______________ Registration ID#: ______________ Approved: ______________


□Donation $ ______________         *All donations are tax deductible - Thank you! *

Comments:




Thank you for your registration. We look forward to seeing you!
Kendall School’s 150th Anniversary Reunion                                                        Page: _7_ of _9_
Thursday-Saturday, June 14 - 16, 2007
                                              Full Name: ___________________________________________

                Kellogg Conference Hotel Reservation Form
Please fax this completed form with your credit card information to our Reservations Department at
202-651-6107, or send it in the mail to Kellogg Conference Hotel, Attention: Reservations Dept.,
800 Florida Avenue, NE, Washington, D.C. 20002 before the cutoff date, May 14, 2007.
You may book a room online. Please visit the Kellogg Conference Hotel, https://ssl.gallaudet.edu/af/kch/.
Please use the Group Booking Code, 10594. The reservations department will recognize it and will assign
you into a room on the block.
Name: ________________________________________________________________________________
Address: ______________________________________________________________________________
City: ___________________________________ State: ______________ Zip Code: ________________
Phone Number: _____________________________ Fax Number: ______________________________
E-mail:
________________________________________________________________________________
Arrival Date: _____________________________ Departure Date: ______________________________
Number of persons: _____________________________________________________________________
Sharing room with: _____________________________________________________________________
Bed Type request: (request is based on availability)
All rooms are nonsmoking. No Pets – other than guide pets.            □King □Queen/Queen
□Accessible
Note: (6) King; (2) Queen Suites; (68) Queen/Queen; (6) Accessible Queen; (6) Accessible Queen/Queen
Special requests: _______________________________________________________________________

Room Rates:    □(single/double occupancy - $119.00)                        □(triple/quad occupancy - $119.00)
Please note these rates are subject to the following taxes, currently: 14.5% on guest rooms.

Reservation Guarantee Method:
□AMEX                    □Discover                    □Diner’s               □MasterCard                 □VISA
Account Number: _______ - _______ - _______ - _______ Exp. Date: ________ - ________
                                                                                               (MM)        (YY)

Name: __________________________________ Signature: ___________________________________
         As shown on a Credit Card-print full name

A form of payment will be required at check-in. We accept credit card, cash, or check. Also, please have a
valid ID. Should you need to cancel your sleeping room reservation, please contact us by 4:00 pm (Eastern
Standard Time) the day prior to your arrival to avoid penalty. Room Rates and Confirmation number(s) will
be forwarded back to you via your email address. For questions, please call our reservation department 24
hours a day at 202.651.6000 Voice/TTY. For information, please visit Kellogg Conference Hotel,
www.kelloggconferencehotel.com.
Kendall School’s 150th Anniversary Reunion                                             Page: _8_ of _9_
Thursday-Saturday, June 14 - 16, 2007

Tentative Schedule of Kendall School’s 150th Anniversary Reunion
Below is a tentative plan for the events taking place at *Kellogg Conference Hotel Thursday through
Saturday, June 14-16, 2007. Please be sure to mark this occasion on your calendar.

Thursday, June 14, 2007
    2:00 pm - 6:00 pm               Registration *
                                    Exhibition *
    7:00 pm - 10:00 pm
                                    Pre-Celebration Bash Reception *
   10:00 pm - 12:00 Midnight        Kendall School Club *

Friday, June 15, 2007
    7:30 am - 9:30 am               Breakfast on your own
                                    Exhibitions and Workshops *
    8:00 am - 5:00 pm
                                    Registration *
    9:00 am - 3:00 pm               Events at Kendall Demonstration Elementary School (KDES):
                                    • Special Guest, Museum Grand Opening
                                    • Museum Tour
                                    • Memorabilia
                                    Exhibitions and Workshops *
    3:00 pm - 6:30 pm               Traditional Picnic at Olmsted Green, formerly known as “Fac Row”
    7:00 pm – 9:30 pm               Kendall School Academic Bowl *
   10:00 pm - 12:00 Midnight        Kendall School Club *

Saturday, June 16, 2007
    8:00 am - 10:00 am              Breakfast Buffet *
                                    Exhibitions and Workshops *
    8:00 am - 3:00 pm               Memorabilia at KDES
                                    Registration *
   10:30 am - 11:00 pm              Group Picture at Chapel Hall
   12 Noon - 1:00 pm                Lunch on your own
   11:00 am - 4:00 pm               Exhibitions and Workshops *
                                    Historical Tour on Kendall Green
                                    Memorabilia at KDES
    5:00 pm - 6:00 pm               Happy Hour Prior to Banquet *
                                    Keynote Speaker *
    6:00 pm - 10:00 pm
                                    Banquet *
   10:00 pm - 12 Midnight           Kendall School Club *
Kendall School’s 150th Anniversary Reunion                                           Page: _9_ of _9_
Thursday-Saturday, June 14 - 16, 2007

                          Kellogg Chef’s Saturday Menu
The breakfast buffet and banquet will be served only for registrants who purchased the Combo or
Non-Combo tickets.


Saturday, June 16, 2007
   8:00 am - 10:00 am        Breakfast Buffet at Kellogg Conference Hotel
                             o Breakfast Menu:
                                   French Flair
                                   Assortment of Chilled Juice, Fresh Fruits, Berries
                                   Farm Fresh Scrambled Eggs, Crisp Bacon, Turkey Sausage
                                   Home Fried Potatoes with Herbs
                                   French Toast with Maple Syrup
                                   Assorted Fresh Baked Muffins, Scones
                                   Ritazza Special Dark Blend Coffee
                                    Fresh Brewed Decaffeinated Coffee
                                    Assorted Tazo Herbal Teas

   6:00 pm - 10:00 pm        Banquet
                             o Dinner Entrees:
                                   One of Three Choices:
                                  1. Dijon Chicken Breast
                                  2. Roast Prime Rib
                                  3. Salmon Filet
                                   Wild Rice Pilaf and Sauteed String Beans
                                   Caesar Salad, Freshly Baked Rolls, Butter
                                   Ritazza Special Dark Blend Coffee
                                   Fresh Brewed Decaffeinated Coffee
                                   Assorted Tazo Herbal Teas, Iced Tea
                                   Surprising Dessert
                             o Special Request for Vegetarian: Eggplant Parmigiano

								
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