CONTACT INFO

First name*

Middle initial

Last name*

Maiden name

Complete mailing address (street, city, state & zip)*

Daytime phone

Evening phone*

Email address*

Full name, address, and telephone of permanent contact (someone who could help us locate you in the future)*

PRIVACY

We’ll publish your contact info in the Reunion Directory unless you tell us not to.

 Don’t publish my phone numbers.
 Don’t publish my email address.
 Don’t publish my home address.

(Note: If you check all 3 boxes, there will be no way for classmates to contact you — only your name will be listed in the directory. Regardless of which box(es) you check, none of your contact information will be published on the web site.)

NAMETAG INFO

(Leave this section blank if you do not plan to attend the reunion)

Your preferred first name for nametag

Guest first name
(as you wish it to appear on nametag)

Guest last name

COLLEGE/MILITARY

College(s) Attended

Professional degrees/ certifications

Military service

Branch
Army Navy Air Force Marines Coast Guard

Location(s)

Years

ABOUT YOU & YOUR FAMILY

Occupation

When I graduated from PHS or left Parker, I wanted to be a:

Marital status

Married Single Divorced Engaged Committed relationship

Married since

1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Spouse/significant other’s name

Children

Name(s)





   

Age(s)

Current hobbies, interests, or activities

Volunteer groups or other organizational affiliations

LOOKING BACK

My favorite memory from PHS

My best friend(s) at PHS

My favorite PHS teacher and why

My most embarrassing moment at PHS

I had a crush on

Something I wish I had done in high school but never did

COOL STUFF ABOUT YOU

Most unique place I have traveled or lived

My greatest achievement since high school

Something interesting about me or my family that few people know

At the reunion, I think I will be most surprised by

Number of miles I’ll travel to attend the reunion

The most important thing I’ve learned in the last 20 years

COMMENT FOR WEB SITE

Comment you would like to post on the web site (e.g., “Looking forward to seeing everyone!” or “Can’t believe how bald I am!”)

ADDITIONAL COMMENTS/QUESTIONS

Please list any comments or questions