Please provide the information below so we can contact you about events.

(An asterisk * indicates a required field.)

* Full Name: * Year Graduated (4 digits):

Please choose one:
I am Holy Name alumni
I am a former Holy Name teacher

* Email (ie:

Telephone (ie: 212-555-1212):

Street Address: Apt:

City: State: Zip Code:

Tell us what you are up to:

Have an email address of another alumi/ae you would like us to contact?: