Alumni Directory Registration

 

Please include your first and last name in the Member Name field so we can verify you are a PC alumnus.  Thank you.

Fields marked with a * are required.

Member Name:
*Last Name:
*First Name:
Birth Date: (m/d/yyyy)
Anniversary Date: (m/d/yyyy)
Spouse First Name:
Spouse Birth Date: (m/d/yyyy)
Address Line 1:
Address Line 2:
City:
State/Country:
For United States and Canada:
For Other Countries:
State:
Country:
Zip:
Phone: ()  - 
Work Phone: ()  - 
Mobile Phone: ()  - 
Pager: ()  - 
*Email:
Email 2:
User Name: not required if Email entered above
Password:
Confirm Password:
Notes:
Children:
# Last Name (leave blank if the same) First Name Birth Date (m/d/yyyy) Grade Email
1.
2.
3.
4.
5.
6.
7.
8.
Class Year: