Member's & Donor's List - Registration

How do I get my name on the list?

Please fill in the form below to the best of your knowledge.

You must submit a valid email address before the registration can be completed.

First Name:

Last Name:

Maiden Name:

Grad Year:

Address Line 1:

AddressLine 2:

City:

Province:

Postal/Zip Code:

Country:

Telephone:

E-mail:

Check here if you were/are a Teacher at Malvern Collegiate:

Check here if you were/are a Staff Member at Malvern Collegiate:

Check here to grant us permission to post your name and grad year on our site:

Additional Comments: