Encina High School Contact information form

Please use this form to submit contact information for your class directory and the Encina High School alumni database. This alumni database is a resource for keeping track of Encina alumni. This is a private database and contact information will not be published in the website Class directories unless you indicate it is okay to do so by checking the boxes under "Publish in website Class directories". This information will be submitted to the Encina webmaster, who will forward it to the class webmaster and/or reunion contact.

WARNING: Submitting false information for someone without their permission may result in permanent banning from the Encina website.

Please indicate which information you would like to include or exclude from the public Class Directory by checking the Yes or No boxes.

	Contact information	Publish in website Class directories
Class year	(required, year graduated)
Updating contact information	Are you updating previously submitted contact information? If so, please explain which information you are updating or changing below:
First name now:	(required)
Middle name:
Last name now:	(required)
Maiden name:	(optional)
First name then:	(optional) Did you have nickname or go by another name?
Last name then:	(optional) Have you changed your name since attending Encina?
	Graduated from Encina Yes (as senior) Yes (junior grad) No Where did you graduate if not from Encina? Note that you need not graduate to participate in the class directories if you had friends at Encina for whatever reason.
	What years were you at Encina? All four years Less than four years No years (did not attend Encina) If less than four years, indicate years at Encina Freshman year Sophomore year Junior year Senior year If you did not attend Encina why are you filling out form: Attended grade school with Encina grads Attended middle school with Encina grads Faculty (teacher/staff/administration) Other, explain
Address:
City:
State:
Zipcode:
	Publish address in website class directory? Yes NoJust city/state
Phone(home):	(xxx-xxx-xxxx) Publish homephone? Yes No
Phone(work):	(xxx-xxx-xxxx) Publish workphone? Yes No
Stable backup address in case you move:	Relationship (parent,sibling,friend) Address (street,phone)
Email:	(required) e.g. name@domain.com, no spaces allowed) Please enter your address carefully. This is important. You will not receive a response if your address is incorrect. If you do not have an email address put "none". Please list your most stable email address. Publish email in class directory?Yes No
	If no, please explain why you do not want your email address published in your class directory. Forwarding email is very time consuming for the Encina webmaster.
Backup Email:	secondary email address
Homepage:	Do you have a personal website or homepage? Publish homepage?YesNo
How did you hear about the Encina website:	(please give the name and class year if an alumni, it may help us to locate you in the future)

Encina mailing lists
Would you like to receive the weekly Encina Update newsletter by email? (The Update contains news about alumni, reunions, homecoming party, staff)	Yes No Already subscribed
Would you like to join the mailing list for your class? (names of newly found classmates and bios are sent to the mailing list)	Yes No Already subscriber

	Family information (optional) If you've already submitted this information on another form you can skip this section.
Occupation:
Marital status:	(single,married,divorced,partnered,etc)
Spouse's name:	(please note if Encina alumni and indicate class year)
Children's names & ages:

Help expand the Encina Class Directory (Important)

Any information you can provide here would be very useful. The Encina alumni database is one of the most
valuable resources provided by the website. Please list the names of siblings and any alumni for whom you
are still in contact. These names will be added to the appropriate class directory so that other alumni will
know they are reachable. Any inquiries will be referred to you. You do not have to provide any personal
contact information, just name and class year if available. Thanks.

Siblings & Encina class (email address if any)
Encina alumni and their email addresses
Encina alumni whom you are still in contact with (maiden names)

Please make sure that you checked the Yes boxes if you wanted your contact information (name, address, city, phone, email) published in the class directory where your friends will see it and be able to contact you.

Comments:

This information will be submitted to the Encina webmaster, who will forward it to the class webmaster and/or reunion contact.

Be forewarned that the website is manually updated approximately once a week so do not expect your class directory to be updated right away...

Validate (enter a 4 digit number: this discourages automated web bots from submitting this form)

Last modified on 10/31/2006

Encina High School Alumni homepage	Class Websites
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