Diploma Name Submission Form for Class of 2018

THIS FORM IS TO BE FILLED OUT BY A SENIOR'S PARENT ONLY.

NOTE TO PARENT:

The purpose of this form is for you to enter your son's name EXACTLY AS IT WILL APPEAR ON HIS FAIRFIELD PREP DIPLOMA. For this reason, it is vital to be accurate.  Please make sure if your son has a middle name it is spelled out and do not use initials.  

As a high school diploma is a legal document, you should enter your son's legal name as it appears on his birth certificate. Please complete this form by December 12.

If you have any questions about filling out and submitting this form, please email Ms. Veno at pveno@fairfieldprep.org, or call her at 203-254-4200, extension 2721.

Graduate's Last Name​
Graduate's First Name​
Graduate's Middle Name(s): If entering more than one name, leave a space between names. Initials not accepted.‚Äč​
Indicate any suffix, e.g., Jr., III, etc.​
Please enter an email address where we can reach you in the event we have questions about your submission.​

Please provide an email address where we can send a link to your current form.

Email Address :
Fairfield Prep
1073 North Benson Road
Fairfield CT, 06824
P 203.254.4200   F 203.254.4108
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