165 Eaton Avenue Tracy, CA 95376 Tel (209) 835-8018 Fax (209) 835-2496
St. Bernard's Parish Website
First Name
Maiden Name
Last Name
Sex Male Female
Street Address
City
State Zip
Home Phone
Cell Phone
Email
Preferred Contact Method Home Phone Cell Phone Email US Mail
Year Graduated
Please provide name of one of your parents:
In order to reach out to as many parents or graduates as possible please list the names of other alumni or parents whom you will encourage to complete this registration form.
Name Year Graduated
Comments
Please provide us comments or suggestions for the upcoming 50th anniversary celebration, or any feedback on this registration effort.
04/13/2008 02:22 PM
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