The Chelsea Greenwich Village Association 

Member Profile Form     

Please enter as much or as little information as you would like. Most, if not all, of the information that you enter will be used to develop your profile on the website and it will be shared with those members visiting our website. The information you enter will be automatically sent to us. Simply click the "Submit" button below when you are finished. Remember to send us (by regular mail or email) some old and recent pictures so that we may include them in the website as well.

Name:                  

Lived At:              

Current Address:    

Email:                   

Schools Attended:  

Occupation (type of work, years and anything of interest relating to work):

Married Date:                 

Name of Spouse:        

Children's Names, Ages and Comments:

Grandchildren:       

Favorite Music:      

Interests/Hobbies:  

Additional Comments/Memories: