Please fill-in the appropriate information below if you would like to contact us and/or be included in our scrapbook.
(Note: only what you type into the "Write a few words" field will be included in the scrapbook.)


First Name Last Name

Full mailing address:



Telephone #:     

E-mail address:

Do you want to receive mailings/email bulletins from OH about events or related news?
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Are you part of a local lgbt family group? If so, which one?:

Additional comments:

Write a few words about you and your family for our scrapbook:


If you'd like to send a photo of yourself and/or your family, we would be pleased to include it in the scrapbook. Please e-mail in jpeg format to: OurHouseDoc@aol.com or send a hard copy to Sugar Pictures: 259 West 30th St., 14th Floor, NY, NY 10001.

Important, please read the necessary Internet waiver and release: