BATTLE CREEK HIGH SCHOOL CLASS OF 1957
Classmate Information Update Form
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** Name at Graduation
Form is for: Address VerificationChange of Address Other Change
** Current Name ('same' is OK)
Birth Date (please)
Current Status: Married Single Sep/Div Widowed 
Spouse Name (maiden name if apt)
Spouse School and Grad Year
** Mailing Address (line 1)
Mailing Address (line 2)
** City, State, Zip
** Telephone Number
Fax Number
Cell Phone
** Email ID
Fill in this next section if you have a second home or vacation home where you spend a lot of time.
Alternate Address (line 1)
Alternate Address (line 2)
Alternate City, State, Zip
Do you have your mail forwarded to this address ?Yes No
Alternate Phone Number
Alternate Email ID
Fill in this next section to tell us who to contact if you move and forget to tell us about it.
Contact Name
Contact Address (line 1)
Contact Address (line 2)
Contact City, State, Zip
Contact Phone Number
Contact Email ID
Enter here anything else you'd like to tell us.
If you want any of your information kept private, tell us here.
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