Gender

Male

Location

Bandon, OR

Birthday:

April 20

What is your full birthday? Month/Day/Year, please.

April 20, 2000

How do you describe your "citizenship" status?

u.S. Citizen

Name of your local county.

coos

What State do live on?

or

Who referred you? How did you find us?

google

Why are you here? What is our highest priority today?

research

What do you think we can do for you?

provide information

What are your areas of interest, talent and/or occupation?

History