Please complete and submit the following Alumni Registration Form. Alumni membership is free, but is limited to current and past students, staff and faculty of Beaconsfield High School, Beaconsfield, QC.

PLEASE READ THIS CAREFULLY!

Your privacy is important to us. This registration will publish your name, location and Grad Year on the Alumni Website search at: http://beaconsfieldhighschool.ca

IMPORTANT: We will NOT publish or release your email address and it will only be used by the BHS Alumni Association to contact you. *Public Email will be displayed if you choose to enter one.

NOTE: RED fields are required. BLACK fields are optional. If you want a public email displayed on the Alumni Website,

enter it in the Public Email field. If you leave that field blank - your email will not be published.

  Enter Email Address:

         Enter Password:  Re-Enter Password:


       Enter BHS Student or Staff Last Name: (Enter the last name you used while at BHS)

                                        Enter First Name:

                            Enter Current Last Name: (Only if different from Last Name above)

                         Select Grad Year (or Staff):

                                  Enter Address Line 1:

                                  Enter Address Line 2:

                                                   Enter City:

                              Enter Province or State: (ex: QC or NH)

                                             Enter Country:

                            Enter Postal or Zip Code:

                                  Enter Home Phone #:

                                 Enter Mobile Phone #:

                                      Enter Public Email: (Will be published)

                                 Enter Website or Link: (Will be published)

 

                                                                       

Return to BHS Alumni Home Page