JHS Member Profile

Date_______________       

Please fill out this form for the Member Profile page and turn in to any board members at a regular meeting or email it to MikesCornSnakes@aol.com.  On this page we will profile new old and new members.  This is another way of introducing members to the rest of the JHS who may not otherwise meet with everyone at the regular meetings.  We all know how our short time at the MOSH can get quite busy and we do not always have time to interact with everyone like we want to.
 

The form can also be sent to PO Box 37336, Jacksonville FL 32236 . I would like a photo of you as well.  It can be a head and shoulders shot, or, if you have an action shot or one with you and your favorite herp, that would work too.

Name ________________________________________                   Age ____

City ___________________________                          State ______________

Normal job _____________________________________________________

Email _________________________ Can the email address be included in newsletter and

web?    Y  N

Short description of life history ______________________________________________________________________________________________ ______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________

Primary herp interests__________________________________________________________________________

Why did you join the JHS and what do you want to get out of your membership? ______________________________________________________________________________________________
______________________________________________________________________________________________

What has been your favorite JHS experience? ______________________________________________________________________________________________
______________________________________________________________________________________________

Please use extra paper if necessary.