Name in High School

Nickname in High School:

Marital Status:

Single Married Divorced Widowed 

Spouse's Name:

Spouse's maiden name:

Children - number of boys:

Children - number of girls:

Occupation/Business:

Spouse's Occupation:

Did your spouse/guest graduate from the same high school, if so what year?

Request some songs you'd like the DJ to play:

I'll never forget... (share a memory for the memory book):

Since High School I... (personal Accomplishments):

Share with us your favorite vacation story (for the memory book):

Alumni Entree Selection

Stuffed Chicken Breast Grilled Mahi Mahi 

Guest Entree Selection

Stuffed Chicken Breast Grilled Mahi Mahi 

What Year did you graduate from Jefferson High School?

Are you married to a Jefferson Classmate?

If you are married to a fellow Jefferson Classmate - what was their maiden name or the name they used while at Jefferson?