Alumni Directory Registration

Were you a member of Ohio Rainbow? Help us grow our Alumni Database by filling out the following form. Email OhioRGalumni@gmail.com or the webmaster with any questions or concerns.

First Name

Maiden Name (if applicable)

Last Name

Phone (Cell)

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Assembly you were a member of

Would you like to receive the statewide newsletter for Ohio Rainbow (by email)?

Yes

What is your job/profession? (past/present)

Do you do any volunteerism?

Where/what do you do?

Any hobbies/skills?

What do you know how to do? What do you enjoy doing?