..::Balik Paete 2004::..

Revised on March 10, 2004

Note: If you have previously filled-up this form, please fill up this revised survey so we can update your records with us. Thank you.

Please help the Reunion organizers to plan this event to your utmost satisfaction by filling up this form. Personal information sent to the BalikPaete organizers will not be shared with any outside entities for any reason. Click here for details of our Privacy Policy.

Name:

E-mail address:
(Reunion updates will be emailed to this email address).

Phone Number:

Street Address:

City                   :

Province/State:

Country :

Postal/Zip Code:

If I am coming from outside the Philippines, I will be staying in the country for a length of :

Number of people in my entourage staying at the Reunion resorts (R & S Resort in Longos, Laguna and Gabriel Resort in Pangil, Laguna (reservation details will be posted later:

No. of children (under 12yrs.):

No. of adults (over 12 yrs.):

I will be staying at this location before and after the BALIK PAETE reunion:

We are planning tol attend the following activities:
(check all that apply)

Day 1- Welcome Arrival/Registration/Masses
Day 2- School Reunion and AlayComputer Roadshow
Day 3- Cultural Arts and Music Day/Santakrusan
Day 4- Hiking & Picnic Day (AlayAhon)
Day 5- Araw ng Palaro (Celebrity Game)/Parade
Day 6- Medical Mission, Fireworks, Dinner Dance
Day 7- Gift Giving/Tianggi
Day 8- Salibanda Festival
Paete Memorabilia
Others
Please specify:

Year of graduation if you are an alumnus in any of the following schools:

Paete Elementary School:

Ibaba Elementary School:

Quinale Elementary School:

Liceo/San Santiago High School:

Eastern Laguna Institute/College:

Additional comments: