50th Anniversary Registration

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Please complete the registration form below. This information will assist with our planning for both the conference and the celebration. Fields marked with an * are required.

After pressing SUBMIT, you will be taken to Western’s Payment Form.  UWO HST # 10816 2587 RT0001


Conference & Celebration Registration Form

  • If a Western graduate, please enter your Western degree and graduation year(s) (i.e., BA '83).
  • If your spouse is attending, please enter your spouse's name. If a Western graduate, please enter your spouse's Western degree and graduation year(s) (i.e., BA '83). Please note: If your spouse is a participant, they must register separately and you do not need to complete any of the further spousal information that is requested below. Simply choose N/A for the spouse responses.
  • Please indicate if you or your spouse have any dietary restrictions, including allergies.
  • Please let us know who you wish to be seated with and we will do our best to accommodate your request.
  • I will attend the lunch at the Wave on Friday, October 28.
  • I will attend the reception and dinner at the Grad Club on Friday, October 28.
  • My spouse will attend the reception and dinner at the Grad Club on Friday, October 28.
  • I will attend the lunch at the Wave on Saturday, October 29.
  • My spouse will attend the lunch at the Wave on Saturday, October 29.
  • I will attend the Gala Dinner at the Great Hall on Saturday, October 29.
  • If yes, please indicate your choice of entrée.
  • My spouse will attend the Gala Dinner at the Great Hall on Saturday, October 29.
  • If yes, please indicate your spouse's choice of entrée.

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