NEW COUNTRY SCHOOL
					ALUMNI ASSOCIATION


Your Name: _______________________________________________________________________________



Student’s Name: __________________________________________________________________________


		__________________________________________________________________________


Were you a:	_____Staff Member

		_____Student

		_____Parent

		_____Family Member

		_____Friend

		_____Volunteer



Years at NCS:  from  __________  to  __________



Mailing Address:  ________________________________________________________________________


		  ________________________________________________________________________


		  ________________________________________________________________________


Phone:  __________________________________________________________________________________


E-Mail:  _________________________________________________________________________________


*all information will remain confidential.

		ncs@psouth.net                      (207) 625-4962

				New Country School
		969 Pequawket Trail West Baldwin, Maine 04091