Contact information form

Original submission or update?

First time
Update
Please make a selection.

Your class year (or affiliation) --Make selection-- Faculty Knew from grade/middle school 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Please select a valid item.

First, we would like to know the name your classmates would recognize from Encina

First name We need your first name at Encina.

Middle name

Last name (or married name) We need your last name.

Maiden name (or last name you went by at Encina if different from above)

Nick name (if any)

Is your name different now?

Sometimes people change their first or last name for reasons other than marriage.

Current name

Why is your name different now?

Email address

If you do not provide your email address you will not receive a reply as there will be no way for us to contact you. If you do not have an email address, please provide a phone number or mailing address.

Your email address We need your email address to contact you.Please enter a valid email address.

Please confirm your email address Please confirm your email address.Please enter the SAME email address.

List your email address in the website class directory?

Yes
No
Please make a selection.

Backup email address(es) Invalid format.

A value is required.

Years you attended Encina?

Freshman year
Sophomore year
Junior year
Senior year

If you did not attend Encina, why are you submitting your contact information?

Attended grade school with Encina alumni
Attended middle school with Encina alumni
Faculty/staff/administration

Other, please explain

Did you graduate from Encina?

You need not have graduated from Encina to participate in the class directories. If you knew Encina alumni from grade or middle school or attended Encina but graduated elsewhere you may still participate.

Graduated as senior
Graduated as junior
Did not graduate from Encina
Please make a selection.

If no, where did you graduate?

Contact information

Street address

City

State

Zip code

List your address in the website class directory?

Yes
No
City/state
Please make a selection.

Home phone Invalid format.A value is required.

List your home phone in the website class directory?

Yes
No
Please make a selection.

Work phone or cell phone Invalid format.

List your work or cell phone in the website class directory?

Yes
No
Please make a selection.

A value is required. Personal website/facebook/myspace/etc

List your homepage in the website class directory?

Yes
No
Please make a selection.

Backup contact

Please provide a stable backup contact in case you move or change your email or phone.

Name and relationship (parent, sibling, friend, child)

Address (street, city, state, zip)

Email/phone

Who told you about the Encina website?

It is useful to know who knows who in case we lose track of either alumni...

Name (and class year if alumni)

Please make a selection.

Encina Update mailing list

Would you like to subscribe to the Encina Update email newsletter?
The Update contains news about class reunions, alumni events and other Encina news and is published irregularly

Yes
No
Already subscribed
Please make a selection.

Your class mailing list

Would you like to subscribe to the mailing list for your class?
Names of newly found classmates and bios are sent to the class mailing list.

Yes
No
Already subscribed
Please make a selection.

Family Information (optional)

Occupation

Marital status (single,married,divorced,partnered)

Spouse's name (please noteif Encina alumni and indicate class year)

Children's names and ages

Are you in contact with other alumni?

Any information you can provide here would be very useful!

The Encina alumni database is one of the most valuable resources provided by the website. Please list the names of siblings and any alumni for whom you are still in contact. These names will be added to the appropriate class directory so that other alumni will know they are reachable. Any inquiries will be referred to you. You do not have to provide any personal contact information, just name and class year if available. Thanks.

Siblings (with class year if known, and email if possible)

Encina alumni you are in contact with (class year, maiden names, email if possible)

Home stretch

Congratulations for making it to the end!

Comments

What happens to all this information?

This form will be submitted to the Encina webmaster, who updates the Encina alumni database and the website class directories. Be forewarned, that if you indicated it was okay to list your contact information in the class directories, this information will be listed in the website class directories, which are public and accessible by anyone on the internet.

The website is manually updated approximately once a week so do not expect your class directory to be updated instantaneously (maybe someday).

Validate (enter a 4 digit number: this discourages automated web bots from submitting this form A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.

Warning: If nothing appears to happen when you click the submit button, there may be errors in the form. Please scroll back and correct any errors and resubmit the form.

If you get an ERROR, please contact the webmaster at the email address shown below.