This form is ONLY for scholarship supporters who forgot their Password. Passwords that were used prior to January 10, 2011 can no longer be used. Please "click here" to see how to make your donation and get a Password for access to some special parts of the webpage.
If you have never registered CLICK HERE for REGISTRATION FORM,
or your completion of this form will be used as your registration, but you will not receive a Password just by submission of this form. 
(Use Tab Key or Mouse, ENTER Can Prematurely Submit Form)
Year Your Class Graduated 

Complete Name when at HHS (First-Middle-Last) 
Your Present Name 
Your Email 
Repeat Your Email to Verify 
Your Mailing Address 
City - State - Zip Code 
Home Phone 
Birth Date (YYYY-MM-DD) 
Who will always know where you are? (Name, Phone & Email) 
All Entries Must Be Made for Form to Submit

Please accept my apology for any inconvenience and
thanks for your support!
CHARLEY BLACKMORE
573-442-1873
charley@kewpie.net
**Thanks for your donation to the, kewpie.net Scholarship.**