
Cubberley Senior High School
50th Reunion Information survey
50th Reunion 'Then and Now' Information Survey
***Copy/paste this entire form (as plain text ) into an email and complete the form and then email it to Cheryl Sampson Elliot @ celliot4270@sbcglobal.net*** OR print form and mail to Cheryl Elliot at 292 Granville Ct. San Jose, CA 95139
Name______________________________________
(Last in School, First, Current Last)
Married /Partnered_______ How Long?_________________
Your Education/Where_____________________________
Occupation _____________________________________
(if retired, what was your last job?)____________________________________
Significant Other Name___________________________
Significant Other Occupation_____________________
Where do you live now?______________________________________________
Kids?((names/ages)__________________________________________________
Grandkids?_________________________________________________________
Contact info (email and/or cell#)__________________________________________________
Highlights of the last 50 years: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
*Attach current picture if you can. We’ll have a display and publish a booklet
Copy/paste this entire form (as plain text ) into an email and complete the form and then email it to Cheryl Sampson Elliot @ celliot4270@sbcglobal.net. OR print form and send to Cheryl Elliot at 292 Granville Ct. San Jose, CA 95139
Provide current mailing address below if you want to receive a copy of the final 'Then and Now' booklet. We will incl pics from events also.
Mailing address. (Check here if you are ok with us adding address to a directory in booklet_________):
_______________________________________
_______________________________________
Are you able to attend the Reunion Oct 10-12th? Y/N_____