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Alumni Family Registration Form

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  Please complete and submit the form below. Required fields marked with an asterisk *
  
  All information will be kept confidential.
  
  Thank you!
  
  Preferred Prefix (i.e. Mr., Mrs., Ms, Dr., etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name (if applicable) Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Suffix (i.e. Senior, Junior, 2nd, etc.) Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname / Known As
  (i.e. Chrissy during time at St. Bede & now going by Christine)
  Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Preferred Contact Phone REQUIRED Please fill out this field.
  
  Mobile Phone Maximum 20 characters Please enter a phone number.
  
  Home Phone Maximum 20 characters Please enter a phone number.
  
  Work Phone Maximum 20 characters Please enter a phone number.
  
  Current Mailing Address
  
  Number REQUIRED Please fill out this field. Please enter valid data.
  
  Street Name REQUIRED
  Please follow Postal Guidelines and use abbreviations ie. St. instead of Street)
  Please fill out this field. Please enter valid data.
  
  Apartment or Unit Number (if applicable) Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Year Graduated or Last Attended St. Bede School REQUIRED
  (Please enter four digits i.e. 1961, 2000)
  Please fill out this field. Please enter valid data.
  
  Faculty, Staff or other please indicate Title REQUIRED
  (If not applicable, please enter NA)
  Please fill out this field. Please enter valid data.
  
  Faculty, Staff or other Years Active
  (Please indicate with four digits i.e. 1972 or if multiple years, 2001-2012)
  Please enter valid data.
  
  St. Bede School Memories and History
  
  Please share a favorite memory with us!
  
  Please tell us something about your life after St. Bede School:
  
  St. Bede School has experienced many special moments since it was first envisioned by the founders. We are trying to detail a complete history - please help us by giving us details about your time at St. Bede School.
  
  St. Bede School Alumni Committee
  
  If interested in becoming a committee member, please provide best contact information Please enter valid data.
  
  Confirmation Email REQUIRED Please fill out this field. Please enter an email address.
  
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