Alumni Contact Form

I'm trying to gather people's names. When you fill out this form (and click submit), it will go directly to my e-mail (gcallard@edwm.org), and I will put it into the camp database. I will also add you to the e-mail list if you'd like (check that box). Thanks for your help!

* Indicates required field

Name *

First

Last

Former names (maiden name, etc.) *

Date of high school graduation *

Last year you went to camp *

Parish *

Email *

Would you like to receive e-mails about camp? *

Yes No

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Comments *

What information would you like available on a password protected page that other registered alumni can view? *

Submit

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The Episcopal Youth Camp is part of the Episcopal Diocese of Western Michigan
www.edwm.org
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