Info Form - Intermediate River IK — Adobe Whitewater Club

Intermediate Inflatable River Kayaking Participant Information

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Are you an American Canoe Association (ACA) Member?

YES

NO

Have you signed the ACA Online Waiver?

YES

NO

You must pay for the clinic before your registration is complete. Clicking on SUBMIT will take you there.