Name of Parent Completing this Form
Email of Parent Completing this Form
This form is for the purpose of instructing Jostens how you want your child's name printed on his/her diploma. Please be sure to list their complete (first, middle, and last) name. Please note: the way the name is entered below is how it will be printed on the diploma. NO CHANGES CAN BE MADE ONCE THE DIPLOMAS ARE PRINTED.
My Child's Name as it appears on the Diploma. First Middle Last - i.e. Thomas Alva Edison
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