Nick Name:

General Location:

Gender:
Male.
Female.
Neuter.

Handedness:
Left-Handed.
Ambidexterous.
Right-Handed.

Which Are You? RAT = born 1948, 1960, 1972, 1984 OX = born 1949, 1961, 1973, 1985 TIGER = born 1950, 1962, 1974, 1986 RABBIT = born 1951, 1963, 1975, 1987 DRAGON = born 1952, 1964, 1976, 1988 SNAKE = born 1953, 1965, 1977, 1989 HORSE = born 1954, 1966, 1978, 1990 GOAT = born 1955, 1967, 1979, 1991 MONKEY = born 1956, 1968, 1980, 1992 ROOSTER = born 1957, 1969, 1981, 1993 DOG = born 1958, 1970, 1982, 1994 BOAR = born 1959, 1971, 1983, 1995

What Was The Contest?

Do you play any instruments?

Violin. Slide Whistle. Theramin. Synthesizer. Piano. Electric Organ. Pipe Organ. Musical Saw. Koto. Psaltery. Cello. Vibraphone.

Xylophone. Bassoon. Lute. French Horn. Zither. Balalaika. Gong. Shamisen. Harp. Guanzi. Lyre. Bagpipes.

Tabla. Didgeridoo. Oboe. Tuba. Harpsichord. Double Bass. Traps. Kazoo. Triangle. Spoons. Other

Please check the box next to ANY that apply:

pseudomorph camphor coccinea symb-socketeer midnight be my valentine reb ajna-vishuda null-a pinion lonesome mandible pipe tobacco contact

Optional Essay or Poem