Overseas Brats Event Registration Form

Before registering, please read the Sales Policy Disclaimer Clause* at the end of this form. Then please fill out the information below for our records.

Event for which you are registering: ___________________________________________________________

Check here: ____ I have read and accept the Sales Policy/Disclaimer Clause at the end of this form.

First Name:

Last Name:

Maiden Name:

___ Former Student
___ Educator
___ Other (specify)

Address:


Email:

Home Phone:

Work Phone:

If you were associated with an overseas school, or a Military Brat who attended school only in the U.S., please list where, dates & grades:


Former students: What year did you graduate from High School, and where?

To register by MAIL: Print, complete, and then mail this form, with your check(s) payable to "OVERSEAS BRATS," to:
Overseas Brats, P.O. Box 47112, Wichita, KS 67201
You can also pay with Visa, MasterCard, Discover or American Express! On the bottom or back of this registration form, please provide the amount you are charging (see event registration details on our website, www.overseasbrats.com), the credit card number, expiration date, your name as it appears on the card, and billing address, and mail that along with this Registration Form.

To register by phone or FAX: Call (316) 269-9610 and provide the information on this form, as well as your credit card information, or simply fax the form with credit card information to us at the same number.

* Sales Policy Disclaimer Clause
FOR THOSE REGISTERING FOR OVERSEAS BRATS FUNCTIONS: In completing and sending in this Registration Form, I certify I understand the registration and cancellation policy, the dates pertinent to payment and refund of monies. Furthermore I agree to be responsible for my own actions and indemnify the event planner OVERSEAS BRATS from any responsibility for any injury I might incur as result of my participation in any event. I will also conduct myself in a manner so as not to cause any damage to the hotel property, nor the property of any of the event providers, or injury to other indviduals in attendance. Should I or my guest(s) be the cause of any damages or injuries I agree to be responsible for the same.
OVERSEAS BRATS, P.O. Box 47112, Wichita, KS 67201     email: joeosbpres@sbcglobal.net
RETURN TO http://www.overseasbrats.com WEB SITE