| Beaver Dam Open House Registration |
| *First name: |
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| *Last name: |
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| *Address: |
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| *City: |
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| *State/province: |
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| *ZIP code: |
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| *E-mail: |
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| *Phone number: |
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| *High school: |
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| *Graduation year: |
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| Major: |
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| Sports: |
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| *Total number attending: |
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| Is any guest joining you at the event an alumnus or alumna of St. Norbert? |
Yes No |
If yes, please provide name(s), graduating year(s) and relation to student:
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