Student Name * Student Birthday * Class Year * Father's Name Father's Address Father's City Father's State Father's Zip Fathers's Home Phone Father's Business Phone Father's Email Father's Occupation Father's College(s) Mother's Name Mother's Address Mother's City Mother's State Mother's Zip Mother's Home Phone Mother's Business Phone Mother's Email Mother's Occupation Mother's College(s) Relatives who attend(ed) YHC Name, Relationship, Dates Attended, Graduate (Y/N)/Class Other Children Name, Date of Birth, School/College I / we would be interested in serving on the Parent/Grandparent Council Committee. I / we would be interested in serving on the Parent/Grandparent Council Committee in a leadership role. I / we would be interested in being a Parent/Grandparent Volunteer. I / we would be willing to serve as a resource person to talk with parents of prospective students about YHC. Not at this time. Best time to call Day Evening What Parent/Grandparent activities are you interested in participating?