Please fill in the following information for short biographies to be included in the reunion book. If you need more space than provided, attach added sheets.

We need a recent picture of you, if available. Photos may be with family, pets, etc. These pictures can be emailed to contact@uhs1964.com or mailed to:

Upland Class of 1964: 45-Year Reunion
8652 Terrie Terrace
Riverside, CA 92509-3949

Name at Graduation ________________________________________

Current Name _____________________________________________

Mailing Address ____________________________________________

_________________________________________________________

Phone (for our records only) __________________________________

E-mail address ____________________________________________

If your address and/or E-mail address are confidential and you do not want them printed in the reunion book, please indicate:

Do not print mailing address _____
Do not print E-mail address _____

Education: ________________________________________________
_________________________________________________________

Job History: _______________________________________________
_________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

Family History – Married – Been married – Never married – children? – Grandchildren, etc:
_________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

Hobbies or Interests: ______________________________________
_________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

Activities: ________________________________________________
_________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

Special accomplishments: ___________________________________
_________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

Places you have lived: ______________________________________
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