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Choctaw High School Class of '79 Reunion Registration Page

Current Last Name:
First Name:
Maiden Name:
Address:
City:
State:
Zip:
Phone:
Cell:
Email:


Best Permanent Address/Phone (Parents)
Address:
City:
State:
Zip:
Phone:
Short description of activities over the last 15 years:

or answer the following questions
Date of Birth: (mm/dd/yyyy)
Your occupation or trade:
Your marital status:
Married for how long:
How many children do you have:
Are you a Grandparent Yet:
Do you have a personal webpage:
May we post this information on the Class of 79 Website?
(The only information we will post is your name/email address/website URL)
Do you want to be added to our mailing list for Class of 79 alumni info and talk?
(An invitation will be sent)