PHSAA Alumni Profile

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PHSAA would appreciate your response as we attempt to compile a database consisting of alumni. This information will be used by the administrators of the PHSAA to provide communication of important dates and events within the organization. Please provide the following information to our association:

Email *

I consent to the Paintsville High School Alumni Association using my information to contact me regarding events and opportunities to support the PHSAA as well as the Paintsville Independent School District. *

Yes

Required

First Name: *

Last Name: *

Paintsville High School Graduation Year: *

Birthdate: *

YYYY

Activities Participated in while at PHS: *

Address: *

Phone Number: *

Email: *

Notable Professional Accomplishments:

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This form was created inside of Paintsville Independent Schools.