Lyons Township High School Alumni Network Registration

Alumni Network Registration

DIRECTIONS: Please complete the following form to register for the Alumni Network. The information requested will be added to the alumni database. Only your e-mail address will be accessible and only if you so designate. The rest of the information is for use by LTHS. (NOTE: * = required field).

Name Information

*Prefix	*First	*Middle:
Maiden:	*Last:	Suffix

Address Information

*Address:		Home Phone:
*City:	*State	*Postal Code:

Other Information

*Sex: Male Female	*E-Mail Address:	*Year Graduated:
Yes, I agree to release my name and e-mail address and have it linked to the Find a Classmate section.

Business Information

Company/Firm Name:	Title:
Business Address:
City:	State:	Zip:
Business Phone:	Business E-mail:

Yes, I am interested in joining the LTHS Alumni Association. (more info)

District 204 does not guarantee the authenticity of entries.