Before you proceed to the questionnaire,
please note:

         1. This information will be posted on your personal page within this website.  Leave blank information that you do not want on the internet. 

          2.  Your information is automatically forward to me and I will put it on line as soon as possible.

          3.  Make sure you put your email address on the form.  No one will see it but me and I will not put it on line unless you specify for me to do so.

          4.  If you want to add pictures, change or update information, please email me at pauline@ccsindians.com




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