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JUNCTION CITY HIGH SCHOOL

CLASS OF 1996 - 10TH CLASS REUNION

REGISTRATION FORM

 

 

Please fill out and send in with your payment.  Cost is $30.00 Per Adult

 

For Dinner Please Circle One:     Chicken     or      Steak

 

Name:                  ____________________________________________

 

Maiden Name:     ____________________________________________

 

Address:               ____________________________________________

                            

Phone:                  ____________________________________________

 

E-Mail:                ____________________________________________

 

Marital Status:    ____________________________________________

 

Spouse’s Name:   ____________________________________________

 

# of Children/Ages:   _________________________________________

 

Occupation:         ____________________________________________

 

Education:           ____________________________________________

 

Hobbies:               ____________________________________________

 

Best High School Memory: ___________________________________