Alumni Couples Registration Form

Alumni Couples

Are you & your spouse both Alumni? Whether you were married in 1957 or 2017 - we want to know!

Your First Name:
Your Maiden Name:
Your Last Name:
Grad Year:
Email:
Phone:
   
Spouse's First Name:
Spouse's Maiden Name:
Spouse's Last Name:
Grad Year:
Email:
Phone:
   
Address 1:
Address 2:
City:
State/Providence:
ZIP/Postal Code:

 

What's your story? (How did you meet, when did you get married, children, etc)

Favorite College Memory together:

Do you have any Children or Grandchildren that went to Daemen College/Rosary Hill? If so, include name(s) and graduation year(s)

Would you allow your story to printed in Daemen publications?

Yes
No