WHO ARE YOU -- Submission Form

NOTE: ALL information MUST be completed and subject to verification with MHS records and/or a follow-up phone call or e-mail response to register on the Melrose High School Alumni Website.

* Required Information

* Status

New Registration    Update Information

* Name

Maiden Name

* E-Mail Address


   (i.e., dansweb4@aol.com, harold@melrosehighschool.com, etc.)

* Address

* City

* State

* Zip

Phone

Day

* Phone

Night

* Year of Graduation

59 | 64 | 66 | 68 | 70 | 72
73 | 74 | 75 | 76 | 82 | 91
97 | Other

If Other, Indicate Year

* Post E-Mail Address on Web Site

Yes No

Additional Information & Comments

NOTE: Use Guest Book to make general comments to be viewed by the public.

NOTE: Please wait for the "Thank You"
message after pressing the "Submit Request" Button.