AND THE SONG GOES ON
NAME:____________________________________________
ADDRESS:_________________________________________
HOME PHONE: (______)______________________________
BIRTHDAY: (MONTH/DAY) ____________________________
DO YOU DRIVE? _______ COULD YOU CARPOOL? ________
WHAT ARE YOUR INTERESTS: (hobbies, occupation, special skills):
___________________________________________________
DO YOU READ MUSIC? Yes No
DO YOU PLAY AN INSTRUMENT? ________________________
IF A SEASONAL RESIDENT DATES HERE: _________________
AWAY ADDRESS: _____________________________________
AWAY PHONE #: (_______)_______________________________