LVHS Senior Squares Project Registration Form

Senior Squares Project
Registration Form

Please use this form to register to become involved in the Las Vegas High School "Senior Squares" Restoration Project. A copy of this form will be reviewed by a committee member and returned to you if there are any questions.

When you are finished filling out the form, please press the Submit button to complete your registration.

Graduation Name

(Required)

Current Name

Address

(Required)

Address 2

City

(Required)

State

(Required)

Zip

(Required)

Country

Telephone

(Include Area Code)

Year Graduated

E-mail Address

(Required)

Will Help With

(Required)

Will Donate $$

(Amount, PLEASE, if you would like to make a donation.)

How did you find us?

(Required)

Comments / Questions / Suggestions