register for the koa club

Use the following form to regiser for The Koa Club as a Community Member.

"*" indicates required fields

Name*
Email*
Please identify your gender identity:*
The Koa Club welcomes women and individuals who self-identify as women to apply for membership at The Koa Club, including non-binary or gender nonconforming individuals or those who were assigned male at birth, but in each case self-identify as a woman. The Koa Club does not accept applications from men or those who identify as men. Our community values the range of identities that the member body represents.
Address*
How did you hear about The Koa Club? (Please check all boxes that apply)*
Main reasons for joining The Koa Club (Please check all boxes that apply)*
Note: If there is enough interest from other members to learn these identified skills, The Koa Club may consider curating workshops for such requested skills.
Signed*