Alumni Contact Form - Portersville Christian School

Please complete this short form so we can keep you up to date with happenings and news at PCS! Thank you!

1. First Name *

2. Last Name *

3. Last Name at time of attending PCS (if different)

4. Year of graduation (if applicable)

5. Grades attended PCS

Contact Information

6. If you would like, please provide a phone number where you could be reached. *

7. Mailing address - Line 1 *

8. Mailing address - Line 2

9. Mailing Address - City, State ZIP

10. Are you interested in receiving any of the following?

Warrior Word: PCS Newsletter (bi-annual) Information via email about upcoming alumni events Weekly Newsletter Information about participating in a Career Day for students Information on having your business featured in our PCS Business Directory

11. Would you be interested in being highlighted in an alumni post on our website or social media?

Yes No

Parent and Grandparent Contact information

Would your parents or grandparents like to know what is going on at PCS?

Please fill out the information below!

12. Parents Name

13. Parent's Address

14. Parents Telephone Number

15. Parent's Email address

16. Grandparent's Name

17. Grandparent's Address

18. Grandparent's Phone Number

19. Grandparent's Email address

20. Grandparent's Name

21. Grandparent's Address

22. Grandparent's Phone Number

23. Grandparent's Email Address

24. Enter Your Email Address: *