Contact Information Form

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Please use this form to give us your contact information, and to correct or add to information we have.   You may also submit confirmed information you have for other classmates, if you have their permission to do so.   We also need some kind of alternate contact for you in case you move and forget to notify us -- the phone number of a sibling, parent, child, friend etc. can save us a lot of work next time

Required information is listed in red.   

NOTE: This information is being collected solely for the purpose of planning the 10th and future reunions for Churchland High '97 classmates.   We promise we will not use this info for any purpose other than reunion planning.  

We will ONLY be posting names and email addresses for class alumni on this site.    If you would prefer that your email address not be available on the published list, please put an *asterisk* in front of each protected piece of information.

If you find a friend who has declined to provide contact information on the confirmed list, contact the committee and we will forward your message to your friend.

  
Is this listing a:

new listing correction

This information is about

me another classmate
If you are submitting info about someone else, what is your name?

Last Name
when at Churchland High

First Name

Last Name now

Middle Name or Initial
Email address

Home Phone

Street Address

City, State, Zip

Mobile Phone

Work Phone
Work Address
Work City, State, Zip

Alternate Email address

Spouse name

Secondary Contact
(someone who might move less often than you, sibling, etc.)

Secondary Street Address

Secondary City, State, Zip

Secondary Phone

Secondary Contact Email
Comments:
(any info you'd like us to know about other classmates, preferences etc)
I agree that you can use this information to plan the Churchland High Class of '97 reunion and *can make it available to other classmates.

*Put an asterisk in front of any piece of information that you don't want published on the website.

 
 

 

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