Alumni Registration - Omega Middle School

Alumni Name*

First Middle Last

Alumni Former Name

First Middle Last

Years Attended*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

High School

College(s)

Occupation

Tell us about any interesting activities you have participated in since leaving Rainbow or Omega? For example: travels, volunteering, career achievements, published writing, art, music, etc.

Interested in Volunteering with RCS (RMCS)?

Yes
No

Parent #1 Name

First Last

Parent #1 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent #1 Phone

Parent #1 Email

Parent #2 Name

First Last

Parent #2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent #2 Phone

Parent #2 Email

Comments

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