Kailua Kona, HI
What is your full birthday? Month/Day/Year, please.
January 1, 1960
How do you describe your "citizenship" status?
Citizen of a country that is foreign to the United States
Name of your local county.
What State do live on?
Who referred you? How did you find us?
Why are you here? What is our highest priority today?
What do you think we can do for you?
What are your areas of interest, talent and/or occupation?
freedom, what else?