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    Lewis & Clark Black Alumni Association Interest Form

    Birthdate
    Birthdate
    Birthdays help us attribute registrations to the correct record in our database. They are not required.
    Mailing Address
    Mailing Address
    Which School/ Campus- Check all that apply.
    Which School/ Campus- Check all that apply.
    Are you interested in being involved in LCBAA?
    Are you interested in being involved in LCBAA?
    How would you prefer to be involved with the LCBAA?
    How would you prefer to be involved with the LCBAA?
    If you are interested in LCBAA events, how would you like to be involved? Check all that apply.
    If you are interested in LCBAA events, how would you like to be involved? Check all that apply.
    Would you like to join the LCBAA leadership team?
    Would you like to join the LCBAA leadership team?