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What is your relationship to the school?

Please check all that apply:

I am a graduate.
I attended.
I am the parent of a current student.
I am the parent of a past student.
I am a friend of the school. (Did Not Attend)

Name
Prefix (Mr., Mrs., Ms., Dr., etc.
First name:
Middle name:
Last name:
Nickname:
Maiden name:
Suffix (Sr., Jr., II., III., etc)
Personal
Date of birth (yyyy-mm-dd)
Gender: Male Female
Marital Status:
Spouse/ Significant Other:
Number of Children:
Social Security Number:
Preferences
Preferred address for correspondence: Home Work
Home address and phone
Address:
City:
State/province:
Zip/postal code:
Country:
Phone:
Fax:
Comments, questions, obervations
Enter any here:
Free Publications
Check any of the free publications or other information you would like to receive. Membership
Annual Fund Information
Annual Report
Alumni Magazine
Parents Newsletter
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