Port Regis Motcombe Park, Shaftesbury, Dorset SP7 9QA. United Kingdom. Registered No: 440436 Charity No: 306218
Tel: (+44) 01747 857800 Fax: (+44) 01747 857810 Email: office@portregis.com
Please fill in as much information as you can below. Questions with an asterisk (*) must be filled in.
Surname
*
Firstname
Surname whilst at PR (if different)
E-mail address
Year of leaving PR
Senior School
Current Address (if you are in short-term student accommodation, can you please give an address which is likely to find you in the longer term)
Main phone number
Mobile phone number
News Exam results, university entrance, a new job, moving to a new area, getting married? (please only provide information which you would be happy to see printed in the Portregian Digest)
I am happy for any of the above news to be published in the next edition of the Portregian Digest.
Yes No
Other Notes (not for publication)
Other Old Portregians (Please provide addresses or e-mail addresses of any other OPRs who you are in contact with, & who might have lost contact with the school).
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