AKA 2
Address:
City: State:Zip:
Phone:
Age: Birth Place: Birth Date: Email:
Membership Number: Other Federation Number:
Name of local Newspaper:
PERSONAL INFORMATION
School: Course of Study:
Future Career Plans:
Occupation: (with brief job description)
Sponsors:
How long have you been Kneeboarding?
Where do you Kneeboard most often?
How long have you been an AKA Member?
Which event do you enjoy the most?
Favority Boat for Kneeboarding: Slalom Tricks Freestyle
Current National Titles:
Current National Records:
Current State Titles
Club Affiliation:
Other USA-WS disciplines you have competed in:
If you had a chance to ski with a top skier who would it be?
Person(s) you look up to or has helped you the most:
Are you a judge, driver, scorer, safety director? Rating & How Long?
Do you have an officials rating in another discipline? Rating and How Long?
Other sports I participate in:
Other points of interest: