Tell Us More About You

We would like for everyone in our class to fill out the following form to give us more information about yourself. We'll put the information on this web site and keep it updated. If you have a change of address or if you want to share additional information in the future, just return here and fill in the form again. Note: If you are just giving us updated information on what is happening with you now, don't worry about filling in the top part of the form (except your name).

First Name:  
Maiden Name:  
Last Name:  
Address:  
City:  
State:  
Zip:  
Phone:  
Email:  


 

Occupation:
Spouse's Name:
Number of Children:
Number of Grandchildren:
     
Give us a brief overview
of what you have been doing:
 
     

 

We would like for you to give us permission to put your photos
(the one from the yearbook and ones from the reunions) on this web site,
but we also want to respect your privacy if you prefer not to.
 

 

  Yes, you can put my pictures on the web site.

 

  No, I prefer that you didn't put my pictures on the web site.

 
     
In the white box below, please type in the security code
shown in the box beside it.  

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