By submitting this information you are consenting to that information being displayed on

*Please type your name as you would like it to appear on the birthday listing.
Select the group where you will be celebrating your birthday
The date of the birthday meeting, not your birth date.
Email information will only be used if the webmaster needs to contact you for follow up information. The email will not show or be stored on the website.
Any information you want to share, for instance number of years.