Questionaire

 

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REUNION RESPONSE AND QUESTIONAIRE

PLEASE RETURN THIS PAGE EVEN IF YOU ARE NOT ATTENDING THE REUNION DINNER

Contact Information

If you've already submitted this information on the Contact Information form you can skip the non-required fields.

First name: (required)
Last name: (required)
Maiden name:
AKA,at Encina,if different:
  Street Address:
City:
State:
Zipcode:
Phone(home): (required)
Phone(work):
Email: (required)
Homepage:
Stable backup address
in case you move
(parents,sibling,friend):
Family information

If you've already submitted this information on the Bio form you can skip this section.

Marital status:
Spouse's name:
Your occupation:
Spouse's occupation:
Number of children:
Children's names
& ages:
Grandchildren's names & ages
Siblings & Encina class
(email address if any)
Biographical information

If you've already submitted this information on the Bio form you can skip this section.

What have you been doing
since graduation?
What about interesting/unknown trivia about you since graduation?
Tell us a funny story about
a fellow classmate?
Who were your best friends at Encina?

Who would you like to see at the reunion?
What are your hobbies?

What do you do for recreation?

Brag about your kids...

Help expand the Encina Class Directory

Encina friends and
their email addresses
How did you hear about the Encina website?

May we publish the following:

  Home address City & State Phone number Email address Bio information
Printed booklet Yes    No   Yes  No Yes  No Yes  No
Website Yes    No Yes    No Yes  No Yes  No Yes  No

Pictures

If you wish, send a current photo of you and/or you and your family for website publication!
Don't be shy! Show off your family...

NOTE: pictures will not be returned unless requested!

Response section

I plan to attend the picnic   Yes   No

I plan to attend the Friday grad-only night get-together   Yes   No

I am mailing $ for (number) Reunion Dinner reservations

On or before July 15: $40.00 single or $70.00 a couple
After July 15 or at the door: $50.00 per person

If you are attending the Reunion Dinner, make your check out to ENCINA CLASS 1973 and mail to:

Charlene DeVere Greenly
4229 Barrett Road
Carmichael,CA 95608

Comments

Please submit this form by JULY 15 if you plan to attend the Reunion Dinner

 

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