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La Sierra Academy

Alumni Information Update Form

Please fill in your information to be sure to receive the latest news and to stay connected to your LSA Alumni Association! The information on this form will be used to update the Alumni records. If you like, you may submit a note to be published in the next Alumni-scope newsletter.

If you do not wish to submit your information electronically, please print this form and mail to:

Alumni Association

La Sierra Academy

4900 Golden Ave.

Riverside, CA 92505


What information are you updating? (Please, check all that apply)

Spouse Information  Home Information  Professional Information  Class Notes  Other

*First name:

*Last name:

 

Maiden Name:

*Class Year(s):

*Mailing Address:

*City 

*State

 

*Zip

 

*Phone

 

E-mail Address:

Professional Information:

 

Self:

Spouse:

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Spouse First Name:

Spouse Last Name:

Spouse is a LSA alumnus, please enter class year(s):
Comments:

* Required Fields

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