Roster Book Form 2021

The information you list below will be included in our upcoming updated Roster Book. If you are a new Member, or are not currently listed in the 2019 Roster Book (black cover with gold logo) and would like to be, please complete this form.

If you do not complete this form, your information will not be included. Please complete this form by December 15, 2021. If you have any questions, please contact Hillary at hdieter@kahkwa.com or (814)315-6703.

Fields marked with * are required.