Name (include maiden, if appropriate)    Class of   
Street Address 
City    State    Zip Code    Email address 
Spouse    SR(A) HS Graduate:  Yes   No     If yes, what year
Occupation 
If you are retired, what field were you employed in before retirement? 
         Children    Grandchildren    Great-grandchildren 
Tell us anything else you'd like to share about your life.  It will be shared with your classmates only if you permit it, otherwise, it will be kept on file.  Your name, class and address will be included in the database, but only used for Association purposes.  No information is shared with anyone outside the Association, sold to any advertisers or in any other way used except for Association uses.

 
May this information be shared with your classmates and other members of the Slippery Rock High School Alumni Association, Inc.?

                                                                                                          Yes       No 

 

                          rep

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