| Your Name: | |  |  |  |  |  |  |
| Maiden Name: | |  |  |  |  |  |  |
| SJS Class of: | |  |  |  |  |  |  |
| Address: | |  |  |  |  |  |  |
| Phone Number: | |  |  |  |  |  |  |
| E-mail: | |  |  |  |  |  |  |
| Spouse's Name: | |  |  |  |  |  |  |
| Children (name/date of birth): | |  |  |  |  |  |  |
| Education since you Graduated from SJS: | |  |  |  |  |  |  |
| Occupation: | |  |  |  |  |  |  |
| What would you like to tell your classmates: | |  |  |  |  |  |  |
| What else is going on with you? Any special Celebrations? Accomplishments?: | |  |  |  |  |  |  |
| Word Verification: | |  |  |  |  |  |  |
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