St. Ephrem Alumni Registration

Full Name (First-Maiden Name-Last )

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Address Street City State Zip Code

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Year of Graduation

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Phone Number (Cell)

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Phone Number (Home)

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Personal Email to Contact you

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Marital Status

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If Married- Spouses Name (first-Maiden Name- Last)

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Name of relatives who graduated from St. Ephrem. Year of Graduation and Relationship to you

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Favorite Teacher

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Favorite Memory

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Would you like to help plan this reunion?

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