Your name (including maiden):
Graduation Year:
EMAIL address:
YES -post my email address on line:
NO -do NOTpost my email address on line:
Mailing Address:
City, State, Zip
Phone Number:
This is a NEW
submission:
Comments:
This is to UPDATE
my contact
informaion already
submitted:
KEMPER ACADEMY-Alumni Contact Information
Complete the following to join the Kemper Academy alumni database.  Only your name, graduation year, and email
address will be posted online unless you note otherwise.  All contact information will be filed at the main Kemper
Academy office.