Kagnew Patch

Kagnew Station Roster
Add Form
(Add your name to the Roster)

Please use this form to add your name to the Kagnew roster. Take your time and fill in all the blanks completely, double check and check your typing. Make sure you put the correct email address in because this will be my link to reply to you, and it will also be in your listing for others to contact you.

If there are special circumstances that are not included on the form, please use the comments area for these items. You can also use the comments area for any messages you'd like to send to me.

Fields with a red asterisk (*) after them are required. You will not be posted if these fields are blank.


NOTICE: This form is to ADD your name to the roster.

DO NOT use this form if you are listed on the roster.

Please use the CHANGE FORM if you need changes made.

Personal Information

Email Address: * (Please double-check your spelling)

Last Name: *
First Name: *
State:   * <--- Click drop-down to select your state.
Zip Code:
Home Phone: Area Code:    Number:
Work Phone: Area Code:    Number: -

Kagnew Information

Tour 1 Years: *   (Example: 98-99)
Tour 2 Years:
Tour 3 Years:
Branch/Unit: *
Work Site:
MOS (if known)

Your Status: Military Civilian Dependent     (Click the correct option)

For dependents only: Check your sponsor's relationship to you.
Sponsor: Father Mother Husband      (Click the correct option)
Name & Unit:

Comments (these comments are sent to Rick only and are NOT posted on the web site):