Alumni Registration

For more information about the Alumni Association, please contact Melanie Baird, Development Association, via email or phone 203 801-2398.

To Register, please complete the form below and click "Submit".

First Name:

Last Name:	Former Last Name (if different):

Address:	Address2:

City:	State:	Zip Code:

Email:

Home Phone:	Cell Phone:
() -Second partThird part	() -Second partThird part
Preferred Method of Contact:

Discharge Date:	Social Worker (TCC):
Date and time
Please indicate the Alumni activities of interest to you:
Alumni Nights Sharing Your Story Volunteer Program Philanthropy

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