Our Lady of Grace Catholic School -

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Alumni Information Form

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11 Questions

1) Name (First and Last): *

2) Maiden Name: *

3) Email: *

4) Phone Number: *

5) Address (Line 1): *

6) Address (Line 2): (optional)

7) City, State, & Zip Code: *

8) Preferred Method of Contact: *

Phone call

Text

Email

9) School attended: *

Our Lady of Grace Catholic Academy

St. Anne's School

St. Mary's School

10) Class of (Year): *

11) Would you like to be part of the Alumni Committee? *

Yes

No

Our Lady of Grace Catholic Academy603 18th Ave East Moline, IL 61244309-755-9771[email protected]