Catholic Patriots - Registration

Salutation

Full First Name

Last Name

Cell Phone

Gender

FemaleMale

Date of Birth

Are you an alumni of GMU or NVCC?

NoYes - Undergraduate AlumniYes - Graduate AlumniYes - Undergraduate & Graduate Alumni

School

GMUNOVAOther (Please Describe)

School (Other):

Class Year

Graduate Class Year

Are you Catholic?

YesNo

Religious Affiliation

We ask these questions so we can occasionally reach out to Catholic students' families about things going on at CCM. We never sell or share any information.

We ask these questions so we can occasionally reach out for event invites and general updates about CCM. We never sell or share any information.

Spouse Salutation

Spouse First Name

Spouse Last Name

Spouse Email

Spouse Phone

Spouse Gender

MaleFemale

Is your spouse an alumni of GMU or NVCC?

NoYes - Undergraduate AlumniYes - Graduate AlumniYes - Undergraduate & Graduate Alumni

School

GMUNOVAOther (Please Describe)

School (Other):

Class Year

Graduate Class Year

To add information for additional parents/guardians, click "Add another Parent / Guardian" below.

Salutation

Parent / Guardian First Name

Parent / Guardian Last Name

Parent / Guardian Phone

Parent / Guardian Email

Salutation

Parent / Guardian 2 First Name

Parent / Guardian 2 Last Name

Parent / Guardian 2 Phone

Parent / Guardian 2 Email

Street

City

State

ZIP Code