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Individual Registration / Information Update Form
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Email address
*
Your email
Membership Number
*
None (brand new to APA)
I don't remember :(
Other:
Legal First Name (as on your ID)
*
Your answer
Optional: preferred first/nickname (to appear on scoresheets)
Your answer
Last Name
*
Your answer
Street Address
*
eg. 123 Main St.
Your answer
City
*
Your answer
State
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Choose
RI
MA
CT
NY
Zip Code
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Gender (as listed on your legal ID)
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Choose
Female
Male
X
Cell Phone
*
eg. 4012167229 (area code first and numbers only: no dashes, spaces, or parentheses)
Your answer
Confirm Cell Phone
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Your answer
Alternate Phone (eg: home, work, spouse, SO, etc.)
Your answer
Occupation
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Professional
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Sales
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Student
Technical
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Other:
What is your preferred language?
English
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Other:
Clear selection
Team Captain's Name
*
None. I'm looking for a team to join.
Other:
How did you pay your annual APA membership?
*
I haven't yet
Online through the app/website
I gave it to my captain
Other:
All done! But hey, how did you feel about using this online form?
Confused/didn't like it
1
2
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5
Easy/simple
Clear selection
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