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50-Year Reunion Questionnaire - Class of 1963

Please complete this questionnaire and upload a current photo. If the photo has been taken professionally, you will need a signed release from the photographer before we can publish it.

Send this form by Friday, April 36, 2013. Be sure to include as much information as possible, and we'll use the information to produce a "mini-Aurora" so you can catch up with all of your classmates.

If you prefer to download a printable form and mail it, please click here.

First name
Middle/birth name
Last name
Spouse first name
Spouse middle/birth name
Spouse last name
Did spouse attend Manchester?
If yes, class year
Permanent address
Mobile phone
Home phone
Winter address
Number of children
Names of children
Number of grandchildren
Number of great-grandchildren
Year of retirement
Other former/current employers
(employer history)
Additional degrees received
(in what year?) and institution
(in what year?)
Interests, hobbies, community or
volunteer activities
Favorite Manchester memories
(that are printable)
What I have read since I left Manchester that has made a profound impact on my life
What life has taught me
What is the most pressing item on
my "bucket list"?
Please upload a current photo.

Please leave empty: