Register new member

Username:*	(ie choose a name to be known by on this website)
Password:*	Confirm Password:* (ie re-type it)
Your first name*
Your surname at the time of leaving*
Your present surname (only if different)
The year that you started*	(Not sure exactly what years you were at Hurlstone?)
The year that you left*	(Just enter your best guess and then email Admin requesting they be checked)
Grade you were in when you left*
Your e-mail address*	Confirm email:* (ie re-type it)
Receive emails from	Logged-in Members Administration only ( I don't have email)
(Your e-mail address is required to send you your username and password, it will not be published or given to anyone else, although a link will be provided for logged in members to send you an e-mail)
Your nickname at school	(only if fit for public consumption!!)
Any comments you would like to make (eg what you are doing now ...)
Comments may be viewed by	Anyone Logged-in members only
(We would like your postal address and telephone solely for school-related purposes, they will not be published or disclosed to anyone else)
Address
Suburb
State
Postcode
Country (if not Australia)
Telephone

(Only complete the following if this entry is on behalf of a deceased Alumni)
(For a deceased Alumni, the contact details above (including email) should be those of the next of kin)
This entry is on behalf of a deceased Alumni - and the above contact details are for myself as next of kin
Next of Kin: First Name Surname
(As next of kin, I am willing to receive correspondence on behalf of this Alumni: Yes No)

Hurlstone Agricultural High School Alumni