Reunion Requests
Complete Name in School
Current Name
Email Address
Verify Email Address
Your Mailing Address
City, State & Zip Code
Home and/or Cell Phone Number
Date of Birth (YYYY-DD-MM)
Who will always know how to reach you?
(Name, Phone & Email)
Graduation Year and Date of Reunion
The above information will be accepted as your registration
if you haven't already registered.
Please list your requests in your email,
by "Song Title" and "Artist" if you know both.
(Please list your requests in order of importance,
as I might not get to all requests.)
If Please notate if you have special dedications or
occasions you would like annouced with your request.
Email all of the above information to
charley@kewpie.net
Include Special Dedication or Announcement Requests
**
Thanks for your donation to the
,
kewpie.net Scholarship
.**