SUBMIT GRADUATE INFO

To submit your graduate info and photo by mail, or in person, CLICK HERE for a pdf copy of this form. DEADLINE TO SUBMIT GRADUATE INFORMATION: JUNE 15, 2024

Use this form to submit your school, high school, college, military, and other graduate type information. You may upload a photo of your graduate complete with a student bio (optional) to be recognized and celebrated among family at the reunion. Graduate submissions received prior to the deadline: June 15, 2024, will be printed in our 2024 Curtis-Albright Family Reunion Souvenir Program Book.

DEADLINE FOR GRADUATE INFORMATION SUBMISSION IS

JUNE 15, 2024

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Name of person completing this form *

First

Last

Specify your relationship to the graduate *

Your contact information

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

TELEPHONE: *

Telephone Type: *

• Mobile
• Home
• Work

If Mobile, can we text you?

• Yes
• No

Email

GRADUATE INFORMATION

Full Name of Graduate *

First

Middle

Last

Graduate's Maiden Name *

NAME OF GRADUATING SCHOOL/PROGRAM: *

LOCATION OF SCHOOL: (CITY / STATE) *

COMPLETED COURSE OF STUDY/MAJOR/PROGRAM: *

TYPE OF DIPLOMA/DEGREE/CERTIFICATE RECEIVED: *

NAME OF FUTURE SCHOOL/FURTHER EDUCATION PLANS (OPTIONAL):

FUTURE (INTENDED) DIPLOMA/DEGREE TYPE:

GRADUATE"S FAMILY & LINEAGE INFORMATION

NAME OF PARENT(S)/GUARDIAN: *

IS GRADUATE or GRADUATE'S PARENT(S)/GUARDIAN A DESCENDANT OF LEWIS CURTIS, PENNY & ADELINE ALBRIGHT? *

• YES
• NO

PLEASE SHARE HOW GRADUATE'S PARENTS ARE RELATED TO LEWIS CURTIS, PENNY & ADELINE ALBRIGHT: *

WRITE A BRIEF BIO/SUMMARY ABOUT THE GRADUATE: (OPTIONAL)

(i.e. Include honor societies, clubs, special recognition/achievements, Greek Societies, Future Aspirations, etc.)

ITS TIME TO SMILE! Please submit a picture of your Graduate for placement in our 2024 Curtis-Albright Annual Family Reunion Souvenir Book!

Click or drag a file to this area to upload.

FILES RESTRICTED TO .jpg, .png, .pdf, .doc

WE LOOK FORWARD TO RECOGNIZING OUR GRADUATES TOGETHER ON SATURDAY, AUGUST 03, 2024

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