75th Anniversary Celebration Registration Form

1

Name of guest registering* This field is required.You can register other guests later in this form.

First Name

Last Name

2

Email* This field is required.We need your email address for COVID-19 purposes. We'll also keep you updated on the event.

example@example.com

3

Thanks for your interest in our event! What's your link/s to Concordia?* This field is required.Select as many options as apply.

Old Scholar (Past Student)

Current Student

Parent of an Old Scholar

Current Parent

Past Staff Member

Current Staff Member

Other

4

We're so excited to see our Old Scholars returning for this event! What year did you finish?It's ok if you didn't finish Year 12, just let us know what year was your final year at Concordia.

5

Did you have a different name while you were at Concordia (e.g. maiden name)?

Yes

No

6

What was your maiden name?

7

Names of guests who will be attending with you.Please type each guest's first and last names and their email address. If a guest does not have an email address, please include their home address. We need to collect these details for COVID-19 purposes so we can contact everyone in attendance if required.

Guest 1

Guest 1 email

Guest 2

Guest 2 email

Guest 3

Guest 3 email

Guest 4

Guest 4 email

8

Are there more guests you'd like to register?

Yes

No

9

Names of additional guests who will be attending with you.Please enter guest name and email. If they do not have an email address, please enter home address. We need to collect these details for COVID-19 purposes so we can contact everyone in attendance if required.

Guest 5

Guest 5 email

Guest 6

Guest 6 email

Guest 7

Guest 7 email

Guest 8

Guest 8 email

10

Are there more guests you'd like to register?

Yes

No

11

Names of additional guests who will be attending with you.Please enter guest name and email. If they do not have an email address, please enter home address. We need to collect these details for COVID-19 purposes so we can contact everyone in attendance if required. If you have more than 12 guests, please complete a new form for additional guests.

Guest 9

Guest 9 email

Guest 10

Guest 10 email

Guest 11

Guest 11 email

Guest 12

Guest 12 email