ALUMNI INFORMATION

Please fill out as little or as much as you want.  this information may be used for an alumni directory just for our class.  let me know if you don't want certain information included.

                   Last Name  (Maiden)                       Married Name                       M.I.      First Name                                               


                                                              Birthdate                                                    Anniversary                               
                                

Home Address

City                                                        State     Zip                   Country

Mailing Address

City                                                          State     Zip

Home Phone               Cell Phone                  Work Phone           

E-mail address

Occupation                                                                             Website

Alternate Contact Information  (Someone who will know how to reach you in 5 years if needed)

Name                                                                                       Relationship to you

Address                                                                                                          Phone

City                                                        State     Zip

E-mail address

Significant Other                                           How long together?

Kids  (Names, Sex, and Ages)

Best High School Memory/Memories

Anything else you'd like to share

You have my permission to use the above information in an alumni directory for the CHS Class of 1980  Yes    No