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Basic Information
Information about you
First Name
Middle Name
Last Name
Prefix
Dr.
Miss
Mr.
Mrs.
Ms.
Address 1
Address Type
Home
Work
School
Other
City
State/Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip
Zip Suffix
Email
Email 2
Phone
Phone Type
Home
Mobile
Other
Work
Phone2
Phone Type 2
Home
Mobile
Other
Work
Birth Date
/
/
(mm/dd/yyyy)
Gender
Female
Male
I am a:
K2 Veteran
Surviving Spouse
Surviving Child
Surviving Family
Family Member
Caretaker
K2 Federal Employee
K2 Civilian Contractor
Legislator
Press
Volunteer
Staff
Sponsor
Board of Directors
Board of Advisors
Uzbek Contractor
Supporter (Other)
Other
Other Information
Why do we ask this? We hope to have promotions and reunions in the future. Having this information on file will help us to plan accordingly.
T-Shirt Size
S
M
L
XL
XXL
XXXL
XXXXL
Valid US Driver's Licence?
Yes
No
Dietary Restrictions
Veteran Information
Information about the K2 Veteran
Veteran Name (F)
Relationship to Veteran
Spouse
Parent
Child
Wife
Husband
Mother
Father
Daughter
Son
Other (subject to approval)
Does the veteran have K2 related health issues?
Yes
No
Health Issues Not Related to K2
Unknown
Has the veteran died?
Yes - Please fill out Gold Star Information
No
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