Central High School Foundation

The Central High School Foundation & Alumni Association - ALUMNI INFORMATION
Please complete as much information as possible.
We DESPERATELY need this information for future purposes and will also be needed by your future Reunion Groups.
We appreciate your input and can guarantee that this information will only be used and maintained by The Central High School Foundation and Alumni Association.
KEEP US POSTED ON YOUR WHEREABOUTS! THANKS SO MUCH!

This form may also be downloaded, printed, and mailed.
Click Here to download the form in Microsoft Word format.

Last Name First Name M.I./Name
Class Year
If Married, Maiden Name Gender: M F
Nickname / Known in School As
Address  
City State Zip Country
Home Phone (with AC) Home Fax # E-mail Address
Birthdate: M/D/Y Birthplace: City/State/Country
Social Security # (optional) Race Religion (optional)
Date Entered Central (Mo/Yr)
Date Graduated/ Left Central (Mo/Yr)
Grade Point Average at High School Graduation:
Where did you attend Elementary School? Name City State
Where did you attend Junior High/Middle School? Name City State
If Married, Spouse’s Information:
Last Name (if different) First Name M.I./Name
Spouse's Maiden Name Gender: M F
Spouse's Date of Birth
If Deceased, Date
Spouse's Education: Name of High School Year Graduated
City State
Information About Your Children (if applicable):
Last Name First Name Middle Name Gender
1. M F
2. M F
Parent Information (please list both parents and address information if different than yours)
Father’s /Guardian Name
Address Home Phone #
City State Zip CHS Grad? Year
Mother’s /Guardian Name
Address Home Phone #
City State Zip CHS Grad? Year
Other Family Members who are Central Graduates (Please include MAIDEN name):
Name Relationship
Address Home Phone #
City State Zip Year Graduated
Name Relationship
Address Home Phone #
City State Zip Year Graduated
Name Relationship
Address Home Phone #
City State Zip Year Graduated
Name Relationship
Address Home Phone #
City State Zip Year Graduated
Name Relationship
Address Home Phone #
City State Zip Year Graduated
Please indicate the ACTIVITES YOU WERE INVOLVED IN DURING YOUR YEARS AT CENTRAL HIGH:
Academic Teams:
Athletics / Sports:
Clubs:
Honors / Awards:
Journalism:
Music – Instrumental:
Music – Vocal:
Performing & Fine Arts:
Senior Class Officer:
Student Government:
OTHER ACTIVITIES:
Contact:chsfoundation@cox.net
Last Updated: Friday, July 30, 2010