Church at Clarendon Graduate Recognition 2019
Please complete the Graduate Recognition Form as we prepare to celebrate our 2019 Graduates!

If available, please attach a wallet sized graduation photograph along with this form or e-mail a picture to: specialevents@1BC.org

Full Name
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email Address
Your answer
Parent / Guardian Name
Your answer
Level Completed (select one)
School Name
Your answer
Date of Graduation
Your answer
Degree Received
Your answer
Honors or Recognition Received
Your answer
If a High School Grad, are you going to college/trade school?
If a High School Grad, name of college/trade school, location of school and major:
Your answer
If you are going into the Military, list Branch
Your answer
Will you be present at the Graduate Recognition Ceremony on June 23, 2019?
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