Sidney Central School Alumni Association
Membership Application
Regular Membership dues are $15.00 and Senior Membership dues are $10.00
Please print this application and send with your check payable to:
SCS Alumni Association
P.O. Box 2186
Sidney, NY 13838

(      ) Check here if you are renewing your membership. Make any changes to the information that has changed since your original application. Otherwise, it is only necessary to indicate your name and any comments.
The membership year is (July 31 to July 31)
(      ) Check here if you would like to be added to the Web Page Directory
         Date: _______________

Home Phone:______________________________
Maiden Name:______________________________
Are you or were you a SCS faculty member?____
Subjects Taught:__________________________
Nick Name: _______________________________
State:_______________ ZIP: ______________
Spouse's Name:__________________________
Did you attend SCS? ______________
Class Year:________________________
Are you retired?__________________
Briefly tell us about you and your Family:
 Would you be willing to serve on a committee?
 Areas of particular interest?
 Suggestions for the Association:
 Additional Donation (please designate, i.e. Website Fund):