KINA KLUB REGISTRATION
Your Picture    
Surname Telephone
Middlename Email
Firstname Website
Date Of Birth   Nationality
Height Country of Birth
Sex Continental Ethnicity
Address Educational Qualification
City / State Institution Attended
Zip Code Areas of Specialty
Country Year(s) graduated
Marital Status Profession
Mate's Name Professional Qualifications
No. of Children Employer
No. of Dependents Years employed
Hobbies Position/Designation
Religion Company Size
Denomination Business Address
Converted?    

Experience With Africa or Afrocentric encounter:

    What countries? African art & culture?
    What Aspects? Family or Friends?
    Countries Visited? Interests
    Other comments    

Your Personal Creative Interests: (Checkmark you areas of interest)

    Photography                                     

    Researching                                   

    Filmaking  / Video, Cinema

    Game Reserves                               

    Beach Resorts                                  

    Art  & Artifacts                                

    Trading                                         

Connect With Us A Little Closer:

    Writing / Publishing

    Drawing / painting / Sketching

    Foreign Travel

    Wildlife / Landscape

    Fashion / Fabrics

    Penpals & Friends

    Business