A Centennial Celebration for All Homepage Centennial Celebration Centennial Speaker Series News and Updates Centennial Book Centennial Celebration Registration Coinciding with Reunion 2023 Centennial Celebration RegistrationPrimary Attendee First and Last Name(Required) First Last Last Name at CA (if different) Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Affiliation (Please pick one)(Required) Alum Current or Former Faculty/Staff Current or Former Parent Current Student Class Year(Required)19401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022Current Student Year 2023 2024 2025 2026 What days do you plan to attend? Friday Evening Saturday All Day Saturday Evening Please list any dietary restrictions hereIf you are a parent of a current student, we kindly ask that they fill out the form separately and are not included in your number of guests.Number of Additional Adult GuestsGuest Name(Required) First Last Guest Name(Required) First Last Guest Name(Required) First Last Guest Name(Required) First Last Guest Name(Required) First Last Number of ChildrenPlease note, it is free for children under 18 to attend the Centennial Celebration. However, there is an additional charge for Kids' Club if you choose to use the service.Child's Name(Required)First NameLast NameAgeChild's Name(Required)First NameLast NameAgeChild's Name(Required)First NameLast NameAgeChild's Name(Required)First NameLast NameAgeChild's Name(Required)First NameLast NameAgeChild's Name(Required)First NameLast NameAgeWill this child need Kids' Club? Yes No What days do you plan to attend?Friday and Saturday dinners include an open bar (beer and wine only). Friday Evening Saturday All Day Saturday Evening Current and Former faculty and staff are invited to the Centennial Celebration as a guest of the school. However, if you make use of Kids' Club, there is a charge per child.Choose your Centennial adventure!These packages are per adult.These packages are per adult.Please list any dietary restrictions hereGeneral Registration(Required)Full Weekend Package: $150 Full weekend packages include all meals, programs, and entertainment, Friday through Sunday. Friday and Saturday dinners include an open bar (beer and wine only). Saturday Centennial All Day Pass: $100 Includes all meals, programs, and entertainment. Saturday dinner includes an open bar (beer and wine only). Saturday Evening Only: $75 Includes reception, dinner, and evening program. Saturday dinner includes an open bar (beer and wine only).Choose your adventureFull Weekend Package: $150Saturday Centennial All Day Pass: $100Saturday Evening Only: $75Full Weekend Package Price: $0.00 Full Weekend Package Price: $0.00 Full Weekend Package Price: $0.00 CAYAC Registration(Required)Full Weekend Package: $125 Full weekend packages include all meals, programs, and entertainment, Friday through Sunday. Friday and Saturday dinners include an open bar (beer and wine only). Saturday Centennial All Day Pass: $75 Includes all meals, programs, and entertainment. Saturday dinner includes an open bar (beer and wine only). Saturday Evening Only: $60 Includes reception, dinner, and evening program. Saturday dinner includes an open bar (beer and wine only).Choose your adventureFull Weekend Package: $125Saturday Centennial All Day Pass: $75Saturday Evening Only: $60Full Weekend Package(Required) Price: $0.00 Saturday Centennial All Day Pass Price: $0.00 Saturday Evening Only(Required) Price: $0.00 Please list any dietary restrictions hereOn-Campus Housing(Required)In keeping with our reunion tradition, on-campus housing is available for alums and former faculty and staff. - There is a $100 per bed charge for on-campus housing, regardless of whether you stay one or two nights. Breakfast is included. - Many rooms have lofted beds (on risers) which are unable to be adjusted. - All houses are co-ed and bathrooms are shared. - There is no AC in the houses. Given the larger than usual scope of this event, housing cannot be guaranteed for all guests, and will be provided on a first-come first-serve basis. If you require accessible housing, please email Meredith Walsh.Do you need on-campus housing?I will not need on-campus housingI will need on-campus housingHousing Cost(Required) Price: $0.00 We will do our best to ensure you get your preferred room and roommate but we cannot guarantee it. For On-Campus housing, do you prefer a single or a double?(Required)I prefer a singleI prefer a doublePlease list your preferred roommatePlease check with your preferred roommate before listing them. Please visit the accommodations section on the Centennial Celebration homepage to learn more about local hotels and room blocks. Kids' ClubWe hope you will bring your family with you to Concord! There is no charge for children under 18 to attend the Centennial Celebration; however, children under 12 must be accompanied by an adult at all activities. The exception is at our Saturday evening Kids' Club, where childcare is provided for an additional fee. - A kid friendly dinner, snacks, and entertainment will be provided for Kids' Club attendees. - All Kids' Club attendees must be pre-registered as part of online Centennial Celebration registration. - We kindly request that all children enrolled in Kids' Club be toilet-trained and there is a maximum age to attend of 12 years old. - The Kids' Club charge is $50 for the first child, $40 for the second child, $30 for the third child, and $20 per child for all additional children. I don't need childcare1 Child: $50.002 Children: $90.003 Children: $120.004 Children: $140.005 Children: $160.00Following your registration for Kids' Club you will receive a separate communication via email with instructions for completing required forms. This additional information must be provided prior to your child(ren) attending Kids' Club on June 10. You will also receive more information about Kids' Club including location and times.Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name If you would like to make a gift to the Annual Fund, please visit concordacademy.org/give
