Centralia (Illinois) High School - Class of 1958 - Classmate Information

Please fill out this information for the reunion booklet and to update our web page.

Enter your name: (Do not press return.)

Are you married? Yes No

If you are a married female, enter your maiden name: (Do not press return.)

If you are married, enter your spouse's name name: (Do not press return.)

Did your spouse attend Centralia High School? Yes No
If so, what class year?

Where do you live? Enter your mailing address:
(You can use return to format address.)

Enter your telephone number: (Do not press return.)

Enter your e-mail address, if appropriate: (Do not press return.)

Enter your birthday:

Which class reunions have you attended? Select all that apply.

1968 (10th)
1973 (15th)
1978 (20th)
1983 (25th)
1988 (30th)
1993 (35th)
1998 (40th)

Are you retired? Yes No
If retired, what year did you retired?

Enter your current (or, if retired, former) employer and your occupation:
(If you retired from the military, enter your branch of service and service years. If you had multiple careers, enter all career experiences.)

Enter information about your family , such as, number of children, grandchildren, etc. (bragging is allowed):

What are your hobbies and non-work related activities?

Did you attend college or university? Yes No
If so, enter any colleges or universities you attended and any degrees received:

Enter any additional comments:

Please, only press the SEND button once. Thank you.

If the server is busy or if you have trouble with this form, you may email your information.


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