If you have a photo you would like published with this please e-mail it first to the following address separate from this form: firstname.lastname@example.org. Please remember to include your name and what the picture is for.
Students Name (first and last):*
Parents' Address (town only), list separately if divorced:
Name of School:*
Town, State where school is located:*
Describe the honor or news:
List groups or organizations student is involved with:
High school (name school and year of graduation):
All fields marked with * are required.
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