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Legacy Program Enrollment Form

Enroll your child or grandchild.
Continue your own legacy with the University of Nebraska -Lincoln.
Your Name:  *
Alumni association membership number:
Relationship to child:  *
If you are not the parents, please provide the parent(s) name:
Class Of (if applicable):
Address:  *
City:  *
State:  *
Zip:  *
Email:  *
Phone Number:

Child's Full Name:  *
Date of Birth:  *
Child's Address:  *
City:  *
State:  *
Zip:  *
Child's Email (if applicable):
Anticipated High School Graduation Year:

* Indicates a required field.


Note: Parents or grandparents must be alumni association members in order for your legacy to qualify for the program. Please complete a separate form for each child.

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