AGLOA District Contact Information form for National Tournaments AGLOA Registration This is a one-time only form to create a district contact record in the database. This data can be changed, but need not be re-entered every year Name of group as you want it to appear on, e.g., name tags, standings, etc. School/District * Email * First Name * Helpful for complete identificationMiddle Name Last Name * Individual Suffix Jr. Sr. II III IV V VI VII Necessary for housing assignments Gender * Female MaleJust approximate if you prefer. It's helpful for distinct identification.Birth DatePhoneAddressCity Country * - select Country - United States India Taiwan State * - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal CodePostal Code Suffix How did you hear about us? * Save Cancel
