Please, please fill out the form to the best of your ability as this may be the last time that many of your old friends and classmates are able catch up with what has happened to everyone since graduation.  
We're not getting any younger folks!  If you know of a classmate that doesn't have an internet connection, get hold of them and fill it out for them or print it and deliver it to them.

Name:

Maiden Name:

Spouse's name:

Address:

Phone: 

Email:

Married, Single, Divorced, Widowed?: 

College, (Associates, Bachelors, Masters, Doctorate): 

Chosen Profession: (Teacher, Doctor, Lawyer, Indian Chief?) 

Military Service: (Y/N) 

Have you traveled outside of the US since leaving SHS?  (Y/N) 

Occupation, employer or Retired (and what you did before retirement):

Children, grandchildren, great grandchildren & ages:

Remarks  (anything you want to say to fellow classmates?): 

Anything different in the last 5 years in your life?:

I will be attending the reunion at $35.00 per person    ( YES/NO):

Number attending:

I can not attend (X):

Deadline for survey and reservations is June1, 2010

By clicking the submit button you are sending this information to Jerri Longworth Kohlhorst.