Alumni Registration Form

New registrants should copy the form below to your word processor, fill in the information and email it as an attachment to: contact us

 

Village Name Date of Birth Current Name  
       
Maffitt Village Addresses Years (ex 1943-54) High School(s) Year Graduated
       
    College(s) Year Graduated
       
       
       
Employment   Years (ex 1959-1992) Retired ? (YR)
       
       
Spouse Name Village Resident? Maiden Name ? Date Married / Divorced
       
       
Father's Name Date of Birth Employment Deceased ? (YR)
       
Mother's Name Date of Birth Employment Deceased ? (YR)
       
Siblings' Names Dates of Birth   Deceased ? (YR)