First Name:

Last Name (Maiden Name or Name in High School):

Current Last Name:

Marital Status:

Single Married Other 

If Applicable, Spouse's Name:

Children: (Names, Ages, Etc.):

Current and/or Former Occupation(S):

Spouse's Occupation:

Please Give Us The Name And Phone Number Of Someone Who Will Know How To Contact You Before The Next Reunion In The Event You Move:___________________________

Elementary School(s) Attended and Grades (e.g., Sussex K-3; Mercer 4-6):

Junior High Attended (choose appropriate school):

Byron Woodbury Other 

Catch Us Up To Date Since We Last Heard From You:

Favorite Memory From My “Shaker Heights” Days:

What Ever Happened To …

Favorite 80’s songs you’d like to hear at the reunion (Title & Artist):

Other: