Attention:

Filling out this form only sends information to the committee. You MUST REGISTER ON THE WEBSITE in order to pay online.

Once your website registration has been approved, you will be able to see more information and pay online. Once you submit the information on this page, it is has been sent or if you leave the page before hitting submit, all information is lost. For questions - contact Frances Haynes at 918-704-8393 or email roughers1967@gmail.com

Full Name (Including Maiden name) *

Name for Name tag

Address

City

State

Zip

Home Phone

Cell Phone

Spouse/Significant Other

Military Service/Branch/Dates/Duty Station

Names and Ages of Children

Number of Grandchildren

Number of Great granchildren

Contact Person & Relationship (someoe other than spouse)

Address

1. Tell about a favorite School years memory

Can you sing our school song, "Spirit of Central High" or the fight song "On Muskogee"

Who was your favorite teacher and why

What kind of car did you drive and were you in a carpool

Do you remember the fire in the band room at Old Central in 1966? Where were you?

Did you know your spouse in high school?

Did you have a secret crush on anyone?

Tell a funny or embarrassing moment

Name some of your goals or dreams or wishlist

Did you fulfill the dreams on your wishlist?

If not are they on your bucket list? or what else is on your bucket list?

Place you have lived

Places you have traveled

Jobs ;you have held/work you have done

What would surprise your classmates MOST about what you have done

What would surprise your classmate the LEAST about what you have done

Tell about experiences with the song Okie from Muskogee

Tell about an accomplishment or other information you would like to share

Will you attend reunion

Education