Classmate Information Form Leave this field blank First Name: ** Nickname/Preferred Name (optional) Middle Name: ** Last Name in 1969: ** Married Last Name: (optional) Spouse's/Partner's First Name (optional) Spouse's/Partner's Middle Initial (optional) Spouse's/Partner's Last Name (optional) Street Address ** City ** State ** ZIP ** Personal Email ** Do you want to receive emails about our class or TJHS? ** Yes No TJHS1969 emails will come from MailChimp. No one will see your email address. When added, you will receive an email - don't Unsubscribe or you will no longer receive the emails. Phone: Landline (optional) Phone: Cell ** If you are on Facebook, how is your name listed? (optional) If you want to become a member of the TJHS 1969 classmates-only Facebook page, go to "Jefferson Class of 1969, San Antonio, TX" and request to be added. SHARING INFORMATION Can your information be shared with any classmate? ** Yes No Can your information be shared with TJHS or any TJHS alumni organization? ** Yes No Do you keep in touch with anyone from our class? (optional) Yes No If "Yes", please provide their name(s) (include ladies' maiden name(s) and any contact information) (optional) MILITARY Did you serve in the military? ** Yes No If "Yes", which Branch? (optional) How long did you serve? (optional) Did you retire from the Military? (optional) Yes No Rank (Not pay grade) (optional) Submit Form