Alumni & Friends of Yorktown High School, Inc.

Online Record Update Form

Please provide the following information to help us keep our membership database up to date. If you change your mind and want to become a member, click on Join to your left.

There is no need to complete both a membership application and this form, unless you made a mistake when you registered, or your information has changed. Both forms go to the same volunteers for processing.

Thanks.

All required fields are listed in BLACK, all optional fields are listed in BLUE.

Please enter your full name (e.g. Mary LEE Smith, capitalizing maiden name)

Maiden Name, if applicable (e.g. LEE, all capitals)

Please indicate your connection with Yorktown High School
(you can select more than one option by holding down the "shift" key while you make your selection)

If you are an alum, please enter your graduating class (e.g. 1984)

Street Address:

Address Line 2 (if applicable)

City

State

Zip (Postal) code

Home Email Address:

Work Email Address

Home Phone: (e.g. 703-525-5555)

Home Fax: (e.g. 703-525-5555)

Employer:

We are requesting this information to help foster on-the-job mentoring amongst YHS grads, as a resource for speakers at YHS Career Days, and because many firms have corporate matching programs for charitable contributions.

Occupation:

Work Phone: (e.g. 703-525-5555x243)

Work Fax: (e.g. 703-525-5555)

Pager or Cell Phone (e.g. 703-525-5555)

Name of Spouse (if applicable):

Spouse YHS Graduating Class (if applicable):

1. Child Name and DOB (if Applicable): (e.g. Lisa Smith 01/15/1990)

2. Child Name and DOB (e.g. Lisa Smith 01/15/1990)

3. Child Name and DOB (e.g. Lisa Smith 01/15/1990)

If you have more than 3 children, please list their names and DOB in the comments box below. Thanks!

Please mark the appropriate box to be included in your class mailing list:

I DO want to be included in my class mailing list.
I DO NOT want to be included in my class mailing list.

If you are interested in helping, please indicate your areas of interest:

Do you have any news to share in our newsletter? If so, enter it in the comments box here:

After you submit this information you will see a screen indicating your entries. If everything is correct you do not need to do anything. If you made a mistake use your back arrow and re-enter and resubmit the form.

If you do not get a chance to confirm your submission, then something is not working properly. Please email our webmaster and advise.

Thanks.