LANGLEY HIGH SCHOOL ALUMNI ASSOCIATION

2021 ALUMNI PICNIC

SATURDAY SEPTEMBER 11, 2021 (12 pm to 7pm)

FOOD SERVED  2 TO 4 PM

FAIRHAVEN PARK-KENNEDY TOWNSHIP, PA

GROVE #3  VITUCCIO

RESERVATION FORM:

ALL RESERVATIONS MUST BE RECEIVED WITH PAYMENT BY AUGUST 31, 2021

Make check (or money order) payable to LHSAA marking “Picnic” in the memo section

MAIL PAYMENT and RESERVATION FORM TO: LHSAA PO BOX 4508 PITTSBURGH, PA 15205

PLEASE CHECK IN AT THE REGISTRATION TABLE WHEN ARRIVING.

NO REFUNDS OR CANCELLATIONS: MONEY WILL BE PUT TOWARDS THE SCHOLARSHIP FUND.

CONTACT FRED HEINOLD at 412-638-1377 for MORE INFORMATION

DEADLINE FOR PAYMENT AND RESERVATION FORM IS AUGUST 31, 2021

PLEASE BRING A SIDE DISH OR DESSERT.

HOT DOGS, HAMBURGERS, DRINKS, and PAPER PRODUCTS WILL BE PROVIDED BY THE ALUMNI ASSOCIATION

– – – – – – – – – – – – – – – – – — – – – – – – — – – — – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –                                  (Detach form and mail with payment)

                                  2021 Langley HS Alumni Picnic

NAME:________________________________________________________________CLASS YEAR: _______

ADDRESS:__________________________________________________________________________________

CITY: _________________________________________________________STATE:_________ZIP:_________

PHONE NUMBER(S) _______________________________________________________________________

EMAIL: ___________________________________________________________________________________

RESERVATIONS AT $10.00 PER ADULT _____________                             TOTAL: $______________

RESERVATIONS AT $5.00 PER CHILD (12 YEARS AND UNDER) _____TOTAL: $______________

TOTAL AMOUNT OF CHECK                                                                    TOTAL:  $_______________