Personal Information Form

In an effort to keep our information as up-to-date as possible, please fill out the form below. If you choose to have your information listed on the website, others will be able to see what you are currently doing, if you are married, have children, etc. Please note, no personal information such as address or phone number will be listed on this website. This information is used for Reunion Planning only.

Is This NEW or UPDATED Information?

Your Name:

First name

Middle initial

Last name

Maiden name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

Home Phone

FAX

E-mail

URL

Would you like this general information to be listed on this website for others to view ?
(Please note, addresses and phone numbers will not be posted for others to view. That information is for the purpose of planning Class Reunions only.)

Are you Married?

Your Spouses Name:

First name

Last name

Middle initial

Do you have children?

First Child:

First name

Date of birth

Sex

Second Child:

First name

Date of birth

Sex

Third Child:

First name

Date of birth

Sex

Fourth Child:

First name

Date of birth

Sex

Fifth Child:

First name

Date of birth

Sex

College(s) Attended:

Degree(s):

Industry that you work in:

Current Place of Employment:

Current Job Title:

Accomplishments and Awards:

Hobbies - What do you like to do for fun and entertainment?

Your fondest memories of High School!

Additional Comments:

How would you like to be contacted concerning Reunion News??

If you move, change email addresses or any other information changes, please be sure to come back to this page and fill out the form again, with the current information. This way, we will be able to contact you for future class reunions.

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