Loreto Convent Alumni Registration Form

LORETO CONVENT ALUMNI
PRETORIA

135 Nana Sita Street, Pretoria

P.O. Box 11381, Church Square, 0001

alumni@loreto.co.za

https://www.loreto.co.za/

(+27) 12 326 6342
ALUMNI Details:
Full Name*

PrefixFirst NamesMiddle NameLast Name
Maiden Name

Last Name
Gender*
Years Attended Start*
Years Attended End*
Year Matriculated
Country of current residence*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cellphone Number*
Format: (000) 000-00000.
WhatsApp Number*
Format: (000) 000-00000.
Landline Number*
Format: (000) 000-0000.
Primary E-mail
example@example.com
Secondary E-mail
example@example.com
Will you be willing to join the Loreto Alumni Club?

YesNoMaybe
Will you be willing to pay a small annual fee to join the Loreto Alumni Club?

YesNoMaybe
If you answered YES, please indicate an annual fee you feel appropriate?

R0 - R100R100 - 300R300 - R500R500 - R1000>R1000
Will you be interested in activities associated with an Alumni Club?

YesNoMaybe
Please Specify*
Will you be interested in organising activities associated with an Alumni Club?

YesNoMaybe
Please Specify*
Will you be interested in fundraising activities associated with an Alumni Club?

YesNoMaybe
Please Specify*
Will you be interested in mentoring activities associated with an Alumni Club?

YesNoMaybe
Please Specify*
Do you have any suggestions for the establishment of an Alumni Club:
Should be Empty: