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EKCSRA

Register

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If you are not currently a EKCSRA Participant and you would like to register for participation in our Chapter's activities, please complete the following information in it's entirety and click "Register" at the bottom of the page.

Register as a New User of www.ekcsra.org
Name
Address
City ...
Gender BirthDate
About Me
Email
Phone
Challenge?
Role(s) you are interested in?
Client?
Referee?USSF Grade
Action
  1. Information collected here is ONLY used to identify who you are and establishes your eligibility for involvement with the EKCSRA. You are required to provide the following fields: First Name, Last Name, Address, City, Zip, BirthDate, a PrimaryPhone and a PrimaryEmail. Please include in "About Me" your reason for application ("new to area", "just obtained my USSF License"; etc.)
  2. You WILL be required to agree to the appropriate EKCSRA Agreement(s) after logging onto our site.