Year of Your Class Name at HHS (First-Middle-Last) Present Name Mailing Address City-State-Zip Code Home Phone
Cell Phone Birthdate (YYYY-MM-DD) Email Address Verify Email Address Who will
always know how to reach you? (Name, Phone & Email)
BIOGRAPHY Write or
paste your BIO in the space below or attach
it to an email. Please limit your BIO to a few hundred
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I am not hiring) (See
writing your autobiography) None
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email picture as, a gif or jpg file to charley@kewpie.net
or mail to address below and include stamped,
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existing BIO, please notate as such.) PICTURES
FOR KEWPIE BIO CHARLEY
BLACKMORE 2312 DEER
CREEK CT COLUMBIA
MO 65201-3564