**Disclaimer**
To receive access to the heemstra chest pages and/or obtain an email account, you must currently be living in heemstra, or were a former lord (anyone who lived their senior year in heemstra). Exceptions to this rule can and will be made on an individual basis. The pages within the "heemstra chest" are for private use only and are not displayed to people outside the heemstra community. The information you provide here will be posted in the "heemstra chest" and will only be viewed by those who have password access. Your username and password are confidential – do not give them to anybody else. The management has the right to revoke your password privileges if they believe you are abusing them. Registration for the "Message Bored" is separate from this form. If information changes, please update us by filling out this form and checking "updating old information."

After completing this form, please allow 1 week to receive an email containing instructions on how to access your email account and/or the "heemstra chest".

Are you: A new member? Updating old information?


Are you a warrior poet? yes no


Do you have "lord" status?  yes no

Name:
Street Address:
               
City:                                                                       State:                                       Zip:

Email:
Home Phone:
School Phone:
Mobile Phone:
AIM name:
MSN name:
Xanga site:
Website:

Please ask a random question:

Please answer your random question:

Other information:

Would you like a FREE heemstrahall.com email account?      

yes no

Would you like access to the "heemstra chest"?     

yes no

If you answered "yes" to either of the above, please fill
out the username and password you would like to use:
Username:
Password: