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Graduation Sunday Registration
Graduate's Full Name: (First Middle Last)
Gender at birth:
Male
Female
Phone Number
Email
Parent's Names:
Name of School you're graduating from:
Are you an Honor Student?
Yes
No
If yes, please list Honors:
Special Achievements/Awards (if any):
Clubs/Sports/Extracurricular Activites (if any):
Future Plans:
Any additional comments?:
Once your form is submitted, please email a photo of yourself you'd like displayed during service to - Hillary@nlcwv.com
Submit