1924 Club Membership Sign-Up

An email confirmation will be sent within 48 hours, and will include your personalized 1924 Club member number. All personal data is confidential and for internal use only. We will not share your information.

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Contact Information

Parent's First Name:

Parent's Last Name:

Home Email Address:

Home Address:

Home Address (line 2):

Home City:

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Other Home State/Province:

Home Postal Code:

Home Phone:

Student Name:

Student Graduation Year:

Student Email Address:

Student Address:

Student Address (line 2):

Student City:

Student State/Province: Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Other

Other Student State/Province:

Student Postal Code:

Student Phone:

Student Birthday:

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