Lane Tech Classes of 59 Reunion Information Form

Your Reunion committee is preparing a booklet that will be distributed at the Reunion banquet. 

Please enter as much information as possible on this form. 

Most of this information will be included in the Reunion Book to allow classmates to connect with each other.  

Use Tab to move to next field  -  When all entries are complete, CLICK Submit Form button at the bottom of this page

Last Name :

  

Are you Married (y-n) :

First Name :

  

First Name of Spouse :

Mid Init :

  

Year Married :

Address :

 

 Was Spouse Prom date (y-n) :

City :

  

High School Spouse Attended :

State :

 (2 letters)  

Number of Children :
Zip :  

Grand Children :
Home Phone : (123-123-1234) enter "y" if you do not want Great-Grand Children :

Email Add :

 phone or email Published

Miles Traveled to Reunion :
         

Senior Division Teachers Name :

    
College Degree(s) :    
College(s) you attended :    

If you served in the military, year entered service :

Year Discharged :
Occupation prior to retirement :    
and / or current occupation :

Years Retired :

Please Enter a short Biography below, 200 words or less

 

When you are done, click Submit Form (only once), you will receive a conformation message