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Family Information Form

Family Information Form

* = required field

Parent Name (1) *
Parent's Cell Phone *
Address *
Parent Name (2)
Parent's Cell Phone (for emergency use only)
Address (if different from Parent #1)
Are you Malone Alumni? *
Student's Name *
Student's Gender
Student's Birthday
Is your student part of an athletic team? *
Student's Name (2)
Students Gender (2)
Student's Birthday (2)
Is your student part of an athletic team?

FATHER'S EMPLOYMENT INFORMATION

MOTHER'S EMPLOYMENT INFORMATION

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Contact Info

Megan Mauck

Director of Alumni and Constituent Engagement

Address
Johnson Center
Advancement Office Suite
Phone330-471-8454
Fax330-471-8477
LinkParents & Families