*First Name:

*Last Name:

Maiden Name:

*Address:

*City:

*State:

*Zip:

Preferred Phone:

*Email:

*Year of Graduation:

Choose From List... 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Ok - that's it!

Unless you'd like to do us a favor and send this form to a friend:

Friend's Name:

Email:

I vote for updates and announcements to be sent via: (pick one)

Choose From List... Email Posted to a web site A link on the Lakewood home page Run to our homes by the track team

I like the idea of a quarterly newsletter:

Yes No

I’m interested in volunteering some time to help get this project off the ground:

Yes No

Things that could be cool: (pick all that apply)

Blogs
Ability to upload a photo
Ability to upload a video
Online alumni directory
Starting a scholarship fund
An active alumni web site
Dressing up like a Viking at Halloween

Other suggestions or ideas: