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)

Alumni Parent or Relative of Yorktown Student or Alumni Friend Yorktown Staff Other

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're 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)

Spouse's Name: (If applicable)

Spouse's YHS Graduating Class (If applicable)

1.  Child's Name and DOB, If Applicable  (e.g. Lisa Smith 01/15/1990)

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

3. Child's 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 section.  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 text box here:

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

If you don't get a chance to confirm your submission something isn't working properly. Please email webmaster@yorktownalums.org and advise. 

Thanks.