Needles High School Class of 78

Please fill out the survey form below.
This infomation will not be viewable on the website but will be used to create a Memory Book of our 30 Year Reunion.

So even if you don't plan of attending please complete the survey and we will mail one to you after the reunion.

*First Name
*Last Name
*Address
*City
*State
*Zip Code
Phone
Email
*Marital Status	Married Single Divorced Committed Relationship
Maiden Name
Spouses Name
How many years have you been married?
Do you have Children?	yes no
How many?
Do you have Grandchildren?	yes no
How many?
Occupation
What activities & interests do you enjoy? What keeps you busy?
What do you consider your biggest achievement since graduating?
If you could describe yourself in high school which would it be?	Outgoing Shy Rebel Studious
How have you changed since high school?
How would you describe your high school experience?
If you could re-live one day in high school what day would you choose and why?
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