Benson High School Alumni Association

Alumni Registry Form

Alumni Registration Form

*First Name:

*Your last name at the
time of graduation or leaving:

Your present last name
(if different):

*The year that you
graduated or left:

*E-mail Address:

Are you a faculty or staff member?:

	Yes
	No

Phone:

(

)

Address:

City:

State:

ZIP:

You will be able to log into the registry to change your contact information.
Your username will be the email you provided.
Please choose a password below.

*Password:

Comments:

Alumni Association
5120 Maple Street
Omaha, NE 68104

Stu Pospisil
Association President
phone: (402) 493-5960

snpospisil@aol.com

Anna White
Reunion Chair
phone: (402) 556-5665
AW3860@aol.com