Zanesville High School
Class of 1965
Questionnaire 

Please help us update our records before the reunion :

Title	such as: Dr, Mr, Mrs, Ms, etc
First Name
Middle Name
"Nick" Name	in High School
Maiden Name	if applicable
Last Name
Suffix	such as: Sr, Jr, II, III, etc
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
Cell Phone
Home Email
Work Phone
Work Email

  Male Female

Enter your date of birth : -- mm/dd/yy  01/01/47

Retired  Yes No    Occupation

Social Networking

Facebook	Link
Twitter	Link
	Classmates.com

Junior High School 

Military -yy/yy -Branch  -Rank

Status (as defined on Status page)
  Single Married     Estranged Separated Divorced      Widow(er) Other

Children/Grandchildren ?

What are your hobbies and interests ?

Please provide the following spouse information (if applicable):

Enter the date of wedding... -- mm/dd/yy  01/01/67

Title
First Name
Middle Name
Maiden Name	if applicable
Last Name
Suffix
Cell Phone
Home E-mail
Work Phone
Work Email

Male  Female

Enter the date of spouse birth -- mm/dd/yy  01/01/47

Year Spouse Graduated School

Retired  Yes  No    Occupation

Spouse's hobbies and interests?

Would you like your email added to website ?

Yes No