User account

Please note, only members of APTSDF are allowed to register on the Federation website.

Your request for an account will be approved within 48 hours.

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Info

First Name: *

Last Name: *

Rank: *

School Name: *

Sex:

School:

Instructor:

Your Rank: *

Membership#:

Emergency Information Form

Insurance Company Name:

Secured Contact Information

Date Of Birth:

The content of this field is kept private and will not be shown publicly.

Home Phone:

The content of this field is kept private and will not be shown publicly.

Work Phone:

The content of this field is kept private and will not be shown publicly.

Cell :

The content of this field is kept private and will not be shown publicly.

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

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User account