HHS Alumni Biographical Information

Date Information Provided

Name (Last, First, Middle)

Year Graduated

Spouse’s Name

Maiden Name (if applicable)

Address

City

State

Zip

Phone Number

Fax Number

E-Mail Address

Your Occupation

Spouse's Occupation

Children's Names - DOB:

Additional Education - Degrees:

If Deceased - DOD:

Burial Location:

Miscellaneous:

*Permission is given to HHS Alumni Association to publish this information.  Unless you specify otherwise, by providing the above information, you hereby specifically provide the Highland High School Alumni Association, a Kansas not for profit corporation, its officers and agents, with the consent, authority and approval to use said information for its own purposes and to post such information on the internet, available to the public, at any website(s) that it may utilize from time to time.  It is understood that any such information will not be sold or made available in list form (other than posting to the internet) to other entities for commercial purposes; provided, however, such information can be provided to USD #425 for its use.

Signature