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Child's Full Name:
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Mother's Full Name:  
Maiden name:
Chowan Alum: Yes No
Class Year:  
Employer:
Job title:

Father's Full Name:  
Nickname:
Chowan Alum: Yes No
Class Year:
Employer:
Job title:

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CU Alumni Association
One University Place
Murfreesboro, NC27855
252-398-6226