Registration
Form for 1964 Piggott Mohawk Classmates
Please
add your Biography & email or mail pictures for the Virtual Directory
Use
Tab Key or Mouse, Hitting ENTER Key Can Prematurely Submit Form
Use this form to
update by entering all items through (If
you did not graduate from Piggott, please give a brief explanation)
Your
Complete Name in school (First-Middle-Last)
Your
Present Name
Your
Email
Repeat
Your Email to Verify
Your
Mailing Address
City-State-Zip
Code
Home
Phone
Work
Phone
Birth
date(YYYY-MM-DD)
Who
will always know where you are? (Name, Phone & Email)
How
did you find this website?
If
you did not graduate from Piggott, please give a brief explanation
You
can
or
CLICK
HERE and submit additional information!
Registration Details
Registration
Details:
I enter the information
you submit in MY DATABASE and forward it to the Class Chairperson.
I retain your information and it will be made available for reunions, when
planning begins, but you must update, should
anything change. The Virtual Directory is protected, and ONLY
your email will be added to it. No address, telephone or personal
info about you will be added to the webpage or given to anyone without
your permission.
You must provide a
working email address for the
"Virtual
Directory" if you want your name included in it.
Enter additional information
about family, high shool, college and your biography/picture
Spouse/Significant's
Name
Personal
website addresses will not be posted on this website at this time.
However,
if you have a website, you can enter the URL
If
you entered your website above, what is the nature of your website?
Alternate
Email address
Fax
number
Is
your computer a PC or Mac?
Family
Stats & Memories from Piggott High School
Children's
names & ages
Grandchildren's
names & ages
What
Piggott teacher(s) do you rember most and why?
What
were your favorite songs during high school?
What
incidents from high school stand out most in your mind?
What
have you been doing since your days at Piggott?
What
do you have planned for the future?
Please
note if you have attended reunions and/or plan to come to future reunions?
Any
other comments you care to make?
Click here to
add your biography & pictures of you or you & your family
To be used for Virtual Directory
Write
or paste your BIO in the space below or attach
it to an email. Please limit your BIO
to
a few hundred words or less. (Please do not send a resume, I am not hiring)
None
of the information you submit on this form will
be
placed on the website; except your biography, name and email address.
Please
email picture as, a gif or jpg file to charley@kewpie.net
or
mail to address below
and
include stamped, addressed envelope, if you want picture returned.
Thanks!
PICTURES
FOR MOHAWK BIO
CHARLEY
BLACKMORE
2312
DEER CREEK CT
COLUMBIA
MO 65201-3564
(Include
identification information with picture)
Please
accept my apology for any inconvenience
and
thanks for your support!
Charley
Blackmore - 573-442-1873
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