KOAC Member Information

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Information collected through this form will only be used for the Kingston Outdoor Adventure Club, and will not be intentionally sold or given to other organizations. KOAC assumes no liability if Google or hackers acquire this information without permission.

Please do not complete this form if you have already done so! Please contact us in writing to inform of any changes to your information.

KOAC will use this information to:

1. Validate your identity. KOAC does not allow anonymous users.
2. Contact you regarding KOAC events.
3. Contact your Emergency Person if you are unable to contact them yourself while participating in a KOAC event. (Fingers and toes crossed that this never happens.)

Email *

First Name *

Last Name *

Email *

Phone Number *

Preferred Method of Contact *

Text Cell Number Provided

Call Number Provided

Emergency Contact *

Emergency Contact Phone Number *

This club is run by volunteers. What can you bring to this club?

Anything Else We Should Know?

A copy of your responses will be emailed to the address you provided.

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