Alumni Application

Title
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First Name: (*)
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Initial:
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Last Name: (*)
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Maiden Name (if applicable):
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Address: (*)
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City: (*)
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State/Province: (*)
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Country: (*)
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ZIP Code/Postal Code: (*)
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Phone Number (Home): (*)
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Phone Number (Office):
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E-mail Address: (*)
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Background Information

Did you attent B.B. Camp as a:
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List the years attended as a camper:
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List the years attended as staff:
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Indicate staff positions:
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* To make multiple selections hold down the Control (Windows) or Command/Apple (Mac) key and click on the appropriate positions.
You may post my name on an Alumni list on this website*:
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If yes, you may include my E-mail address with my name*:
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May we contact you via E-mail?
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* Absolutely no other information will be made public.