Family & Parents

Family Day Reservation Form

Reservations must be made by September 23, 2009.
(You can print this form in and send it with money or submit this form online and send payment.)

 

Student Name:
Dragon ID:
Family Member Name(s):

Address:
City:   State: Zip:
Daytime Telephone:
Email:

 

Please indicate the number attending:

Lunch @ $10 per person: $

Number of MSUM Students (No Charge)

Does student have a Sodexho meal contract? Yes | No

Number of Vegetarian meals @ $10 per person: $

 

Please indicate the number attending:

Number of Football game tickets (available at Registration)

 

Total: $

 

Payable to:

MSU Moorhead Family Day

Student Support Services
Minnesota State University Moorhead

1104 7th Avenue South

Moorhead, MN 56563

 

Please note: No refunds will be issued after September 23, 2009.

 

Please contact Veronica Michael with any questions at 218.477.2777