Graduation Form

2022 Graduation Registration Form

Graduates will be recognized on Sunday, June 12^th during the 9:30 am service
All forms are due by: Sunday, June 5, 2022
(NO EXCEPTIONS)

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Student Name

Parent’s Name

Student Mailing Address:

City, State & Zip

Telephone Number: Home/Work/Cell

Emaila valid email

High School Graduates: Please complete the following information.

Name of School

Special Awards

Scholarships/Recognition Received (w/ Dollar Amount)

Sports, School Clubs

After High School Plansmore details

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College or Technical School Graduates: Please complete the following information.

Name of School

Degree/Awards:

Graduate School Graduates: Please complete the following information.

Name of School

Degree/Awards:

Doctoral/Law/Medical School (MD, DO, JD, PhD) Graduates:

Name of School

Degree/Awards:

We would like for all graduates to be dressed in graduation cap and gown, if possible.