The only required information is your name and e-mail address. If you don't have an e-mail address, enter "none" and please leave a phone number or address where you may be reached. Your information will be listed on the committee's mailing list so they can reach you, a list all alumnis of our class are welcome to join. Please check the appropriate box below to be added to this particular and exclusive list.  

PLEASE NOTE! IF YOU ARE ALREADY REGISTERED DO NOT FILL OUT THIS FORM! SIMPLY SEND ME AN EMAIL WITH THE SUBJECT LINE: 
EDIT INFO ON AHS LIST/WEBSITE 
WITH THE OLD INFO AND THE NEW INFO: 
EXAMPLE: old email ebmom@earthlink.net new email ebmom@verizon.com

Your E-mail Address: (Required)

Your Phone number

Your Name: (Required)
Ladies, Please included maiden name if applicable-put your married name
in parenthesis such as: Angelina Jolie (Pitt)

Your Mailing Address

City, State and Zip

Your occupation or trade

Your marital status
Single
Engaged
Married
Separated
Divorced
Widowed

If married, what year did you get married?

How many children do you have?

Your ICQ number

Your AOL Buddy List name

Other Chat programs names/number
Please separate each chat name w/program by a comma or put one per line:
ex. vallesifan=Yahoo

Are you a Grandparent Yet?
Yes
No

May we post this information on the Class of 84 Website? (The only information we will post is your name/email address/website URL)
Yes
No  

Do you want to be added to the committee's mailing list for the Class of 84 which includes alumni info and chat among the classmates? 
Yes
No

Would you like to add a mini BIO or/and a picture of yourself for the website?
Yes, Mini Bio and Pic
Yes, Mini Bio only
Yes, Pic Only
No, Thank you

Leave your comments here for further info you'd like to share...