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  Contact Forms

Use this form to email the results to Reba (Ward) Baker.

Be sure to enter "nospam" prior to clicking the SUBMIT button.

If you prefer not to email the results please use and mail the Printable form.

The information that you provide will assist us in maintaining our CHHS-61 database.

 

If you would like to include additional information, such as children’s names, life experiences, etc., please feel free to do so.

 

 

Name:  First    Middle    Last 

Maiden Name 

Street Address 

City     State     Zip 

Home Phone (xxx) xxx-xxxx     Cell Phone (xxx) xxx-xxxx 

Email    Your Birth Date   MM/DD/YYYY  

Where did you attend Junior High? 
               
                                      Elementary? 

Do you want your telephone number listed on our web site? (Y/N)

Do you want your email address listed on our web site? (Y/N)      

 

Spouse's Name   

Did spouse graduate from CHHS?    (Y/N)     If Yes, what year? 

If No, what school and year: 



Additional Comments:

 

Enter "nospam" to foil robots           


    

 


Contact Submittal Form (Mail Version)


CONTACT INFORMATION

 

NAME:  First_______________ Middle ________________   Last ____________________________

                 Maiden Name ______________________________ 

Street Address ____________________________________

City ______________________ State _____  ZIP _________

Home Phone (_____) ________________________    Cell Phone (_____)_________________________

E-Mail _______________________________     Your Birthday _________________________________

Where did you attend:  Junior High  ___________________________________

                                        Elementary  ___________________________________
 

Do you want your telephone number listed on our web site? (Y/N) _____________

Do you want your email address listed on our web site? (Y/N)       _____________

 

Spouse’s Name ____________________________

Did your spouse graduate from CHHS? _____ (Y/N)      If Yes, What year? __________

If No, What School & Year,  ______________________________________________

 

Additional Info:  ______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

 

Mail to:  CHHS Class of 1961
                P.O. Box 851198
                Yukon, OK 73085-1198


Download Printable Form (Here)

 

  Last Revised  07:51 PM   October 01, 2015