Legacy Registration Form

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Email *

Current Address of Legacy Member

Cell Phone Number for Legacy Member

Formal Name of Assembly Member at Time of Bowing or Serving on HAB (Maiden Name) or Board Member Name *

What was Legacy Member's Role *

Debutante

Honor Guard

Served more than 3 years on HAB

Required

Year Legacy Member Bowed (HS Graduation Year) or Served on HAB *

Formal Name of 1st Legacy *

Address and Phone Number for 1st Legacy *

High School Name and Year of Graduation *

Relationship to Legacy Member *

Formal Name of 2nd Legacy

Address and Phone Number for 2nd Legacy

High School Name and Year of Graduation

Relationship to Legacy Member

Formal Name of 3rd Legacy

Address and Phone Number for 3rd Legacy

High School Name and Year of Graduation

Relationship to Legacy Member

Formal Name of 4th Legacy

Address and Phone Number for 4th Legacy

High School Name and Year of Graduation

Relationship to Legacy Member

Any additional information or additional legacies

Submit

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