Update Form

Welcome - If you would like to be kept current on the PHS Web Site, update your email address, US Mail Address, make sure you are contacted for class reunions, Please take a moment to fill out this form.

Please provide the following contact information:
FIRST NAME
MAIDEN-LAST
STREET ADDRESS
ADDRESS(cont)
CITY
STATE/PROVINCE
ZIP/POSTALCODE
CLASS OF
HOME PHONE
E- MAIL
INFO
YOUR OCCUPATION
SPOUSE OR PARTNERS NAME
SPOUSE OR PARTNERS OCCUPATION
CHILDREN:NAMES AND AGES
GRANDCHILDREN
If you or your company has a web site list the url
List Permission on site:
o.k. to list my information on web site.

No just save my information for the reunion committee .


Choose any that apply
I would like:

How did you locate the PHS'61 web site?

Just For Fun
Tell us about yourself? Activities, Interests, hobbies....
What memory or friend from PHS still brings a smile?


THANK YOU