Graduation Form:



1. Be sure all names, dates, and other specifics are correct.
2. No specific day of publication can be assured. Announcements will be published as soon after submission as space permits on a first come, first served basis.
3. Because of space limitations, the Geauga County Maple Leaf may not be able to use all the information asked below.
4. A local phone number where someone can be reach during the day must be listed.
5. The Geauga Maple Leaf reserves the right to edit and publish announcements as necessary.

Submitted by:


Subscription Number:


Daytime Phone Number:


Email Address:


Graduate's Name:


Graduate's City & State of Residence:


Parents's Names:


Parents' City & State of Residence:


Grade Complete/Degree Achieved:


Date of Graduation:


Name of School:


Location of School (City & State):




Honors & Achievements:


Clubs, Sports or Other Activities:


Future Plans:




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Chardon, OH 44024-5166

Phone (440) 285-2013
FAX (440) 285-2015

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