Alumni Association at St. Cloud State University

Birth/Adoption Announcement


Include in Outlook Magazine

Check here if you would like to have this information included in Outlook (print and online versions).


Alumnus/a Information:

Name of alumnus/a:

Maiden Name: (if applicable)

SCSU Class year:


Partner Information:

Name of Partner:

Maiden Name: (if applicable)

Is your Partner a SCSU Alumnus/a?

Yes
No

Class year:


Baby Information:

Please choose:

Baby's name:

Baby's name: (if twins)

Birth Date:  (mm/dd/yyyy)


Information about your Other Children :

Name:   Date of Birth: (mm/dd/yyyy)
Name:   Date of Birth: (mm/dd/yyyy)
Name:   Date of Birth: (mm/dd/yyyy)
Name:   Date of Birth: (mm/dd/yyyy)


Address information:

We will use this information to send you a Husky Pup T-shirt!

Address:

Home Phone:   Work Phone:

Home E-mail:

Would you like to receive, via e-mail, updates on upcoming alumni social activities in your area and other news on SCSU?
Yes
No


If you are sending this on behalf of a SCSU Alumnus/a please submit the following information:

Submitted by:

Phone:

Relationship to alumnus/a:

Untitled Document