WRHS Student Questionnaire

Alum, select class year, Teachers, select "T", others select "O"
Class of: 

Share this data with other WRHS alum? 

 

Use the tab key to move from field to field.

Click Submit or press Enter when the questionnaire is complete.

(Do not press Enter until the form is complete!)

 

About you:  

Last Name in High School:

Current Last Name:       First Name:       Middle Initial  


Instant Message Screen Name: 
E-mail address: 

 

Area code:       Phone number:  

Street address: 
                          
City:     State (or None if outside USA):     
Country:     Zip Code: 

 

About your significant other:

Last name:     First name: 


Instant Message Screen Name:                                                                                     
E-mail address: 

 

Number of children:     Number of grandchildren: 

 

Information about someone in the US who might always know how to contact you:

Last name: 
First name:             


Street address: 
                          

City:     State:     Their zip: 
Area code:       Phone number:    

 

Instant Message screen name:                                                                                   
E-mail address: 

 

In 1800 characters (300 words), share with us, the significant events in your life:

If you use apostrophes, DOUBLE them
(press the key twice so they look like this (''))