Baby Announcement

Child's Full Name: *

Child's Date of Birth: *

Full Name of Parent: *

Parent's Maiden Name:

Year you enrolled:

Year you graduated:

Degree(s)/Credential(s)/Certificate(s) Earned:

Email Address (Provide your email address to receive confirmation that your news/update was received): *

Would you like to receive the Alumni e-Newsletter (published quarterly) at the email address provided above?:

Web Page URL:

Employer:

Job Title:

Spouse's Name:

Spouse Is Our Alum?:

Yes

No

Spouse's Maiden Name:

Spouse's Grad Year:

Spouse's Employer:

Home Phone:

Cell/Mobile Phone:

Work Phone and Ext.:

Home Address: Street, Apt/Unit #:

Home City:

Home State/Province:

Home Zip/Postal Code:

Home Country:

Work Address:

Work City:

Work State/Province:

Work Zip/Postal Code:

Work Country:

Update Information (not covered above, not for publication in the Viewpoint):

Baby Announcement (Limit of 200 words) : *

Siblings and Ages:

Attach a Photo | Must be a head and shoulder shot of the baby ONLY and of high resolution (about 1 MB):

Do you release this announcement and photo for possible publication in the Viewpoint?: *

Yes

No

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