This information will be posted on your personal page within this website.
Leave blank information that you do not want on the internet. 

          
1. Name AND the year you would have graduated CCS

        (LADIES: Put your maiden name as your middle name)

2. Where you are living now.

3. Single, Married, Divorced?

4 Name of Spouse

 5. PLEASE PUT YOUR EMAIL ADDRESS********
     The years you were at CCS
     The school you graduated from

    
      *********Your email address will NOT be put on line without your verification.
                  It will be added to the CCS mailing list.


5 Children

7. Grandchildren

8 College or other schooling
     

9 Occupation Now
        

10. Jobs you have held since graduation
 

11. Places you have lived since graduation?


12. Activities ( Hobbies, clubs, organizations, interests,etc)

13. Favorite CCS teacher(s) 

14. Memories?
    


  Did you remember to put your Class Year?
 Did you put in your email address?
This form is sent to Pauline only.

 

Do you know someone who is not on line but would like to have their information on this site, please print this off an send it to them.
 They can return it to:
Pauline Rogers Nash
P.O. Box 63    Rienzi MS (Mississippi) 38865

Thank you