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.**