CHS Alumni Registration Form

Please use the following form to submit your e-mail address and other information.
In order to protect the privacy of our alumni, the Alumni Webmaster will not publish
street addresses and telephone numbers.
All submissions will be posted only after verification of attendance and e-mail accuracy.

Do not submit information about someone other than yourself !

Your Full Name (include maiden name in parenthesis if appropriate):

E-mail address:
Please ensure accuracy, example "bigboy@aol.com"
Phone Number:
(include area code in parenthesis)

Type of Registration ?
Date of Birth:
Grad Year ?


Residence (City only):     State:

Are you currently married?      Spouse name:

Are you currently receiving the Alumni News letter via standard mail ?

Would you like to be contacted monthly via e-mail of special events ?

Please tell us how you found the site and any comments or suggestions.
If you have moved in the past year please update your address.

  


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