Young Alumni Night Registration Form
Thursday night throw-back at Agave Grill in Hartford
March 13, 2014
5:00 p.m. to 9:00 p.m.
Year of graduation from CCSU*
Phone # [format: (XXX) XXX-XXXX]
(ex. 06108 or 06108-0809)
Referred By (if a friend told you about this, let us know who!)
Please let us know if you have any dietary restrictions and we'll do our best to accommodate.
Please send a confirmation email to the address below: