Please join us in LA!
BB&N in LA
Monday, February 12, 6:30-8:30pm
Edendale
2838 Rowena Avenue, Los Angeles, CA
First Name*
Last Name*
Last Name at BB&N
Email *
Phone
(555) 123-4567
Will you be bringing a guest?*
Please Select…
No
Yes, my partner/spouse
Yes, one guest
Yes, two guests
Guest First Name
This will be used for an event name tag
Guest Last Name
This will be used for an event name tag
Guest 2 First Name
This will be used for an event name tag
Guest 2 Last Name
This will be used for an event name tag
Your Affiliation*
Alumnus/a
Parent
Grandparent
Faculty/Staff
Class Year*
Parent Year
Parent Year
Parent Year
Parent Year
Grandparent Yr
Grandparent Yr
Grandparent Yr
Grandparent Yr
Faculty/Staff*
Current
Former
Handicap Accessibility
In order to make your experience as pleasant as possible, please notify us in advance of any special requests or accommodations you may need.
Yes
No
Accomodation requested
Address 1
Address 2
Address 3
City
State
Zip
Region
Country
Please send a confirmation email to the address below: