Alumni Registration
BURKS FAMILY REUNION 2012 Multiple Year Reunion

* - Required field

Email Address:*

Re-Type Email:*

User Name:*

Max of 12 Characters only

Password:*

Max of 8 Characters only

Attending ?:*

Yes Maybe No

Birth Year:*

Select 1960 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 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Administration Counselor Faculty Friend Staff

First Name:*

Last Name:*

Do not hyphenate your last name the system will do that automatically for name tag printing using your current Last name and your Maiden name.

City:*

State*

State 2 Letter Abbreviation

Country:*

USA CAN GBR MEX ABW AUS AUT BHS BGD BEL BMU DNK EGY FJI FIN FRA GEO DEU GRL HKG HUN ISL IND IDN IRL ISR ITA JAM JPN LUX MAR NAM NLD NZL NOR PHL PRI REU LCA SAU ZAF ESP SWE CHE VGB VIR ZWE

Maiden Name:

Enter only if different than current last name.

Spouse/Guest Name:

If your guest is also a Alumni they must register separately as well.

Spouse/Guest Attending:

Yes No NA

Family Information

Grandfather:

Father:

Grandmother:

Mother:

Online Yearbook Information (optional) Only Alumni who are logged in will be able to see this information never the general public.

Current Photo:

Facebook:

Current Street Address:

Phone:

Children:

First Name - Birth Yr separate each by commas.