| Name: | (Include maiden name) | Home phone: | |
| Address: | | Cell phone: | |
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| Email: | | Years in F’dale schools: | |
| Birthday: |
| | If you didn’t attend K to 12 in Farmingdale, other schools attended: | |
| Martial status: | | Spouse/significant other (maiden name): | |
| | Date married: | | Did you date your spouse in HS? | |
| Former marriage(s) (if you wish): | |
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| Children: (include | |
| ages) | |
| # Grandaughters: | | # Grandsons: | | |
| Siblings: (include | |
| married names) | |
| After high school: (please let us know what you have been doing (college/service/work) |
| | Dates | Where | What |
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| Hobbies/Interests/Activities |
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| Achievements/Awards/Honors (please don’t be modest – we all want to know) |
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| Anything else we should know about you or your family. |
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