| First Name:________________________________ |
Last Name:_________________________________ |
| Address:___________________________________ |
Birthdate:_________________________________ |
| City:______________________________________ |
Telephone Number:__________________________ |
| Family Origin:_____________________________ |
Favorite Food:_____________________________ |
| Favorite Actor:____________________________ |
Why:_______________________________________ |
| Numbers of Sport You Play:_________________ |
Favorite Passtime:_________________________ |
| What is/are your favorite type of movie(s)? |
Drama_ Horror_ Comedy_ Romance_ Thriller_ |