Office of Student Life

Name(s) of Family Members Attending:

UNCP Student's Name(s)

Street Address
City
State Zip

Phone

Email

Will you be attending the Mac Davis concert? Yes No

How many will be attending Mac Davis concert?

Total # attending Parents Banquet (include students)

Total # attending Parent's Weekend (excluding UNCP students)

PAYMENT INFORMATION:

Registration ..... $25.00 per person (NO CHARGE FOR UNCP STUDENT(S)

Registration for children under the age of 10...... $10.00 per person

Mac Davis concert.... $15.00 per person
***NOTE: Mac Davis concert.... $5.00 for students

Payments may be mailed to:
UNC Pembroke
Student Life Office
(for: Parent's Weekend)
P.O. Box 1510
Pembroke, NC 28372-1510

Make checks payable to: UNC Pembroke