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Individual Registration / Information Update Form
Email address *
Membership Number *
Legal First Name (as on your ID) *
Optional: preferred first/nickname (to appear on scoresheets)
Last Name *
Street Address *
eg. 123 Main St.
City *
State *
Zip Code *
Birthday *
MM
/
DD
/
YYYY
Gender (as listed on your legal ID) *
Cell Phone *
eg. 4012167229 (area code first and numbers only: no dashes, spaces, or parentheses)
Confirm Cell Phone *
Alternate Phone (eg: home, work, spouse, SO, etc.)
Occupation
What is your preferred language?
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Team Captain's Name *
How did you pay your annual APA membership? *
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