Novice Course Registration

NOVICE COURSE Online Registration Form

To expedite the registration process, use this registration form. When arriving at the Pre- Registration Desk, each paddler must sign the registration form to receive a bib-number. Online Registration is available until Friday night 9pm.

For complete information about Novice and Race Classes, go to Race Classes.

REMARKS:
* LOCAL CLASS	Local Classes: Enfield, Somers, Ellington, Stafford, East Windsor, South Windsor and Hampden Mass.
NOVICE CLASSES T - Z:	NO Bent Shaft Paddles or Racing Boats

Race Course:
Make sure Race Course (above) matches up with Race Class (below)!

Race Class:

Canoe/Kayak Model: (letters, spaces and numbers only)

Paddler 1:
First Name:
Last name:
Address:
City:
State:
Zip:
                         MM/DD/YY
Date of Birth:
Phone:
Email:

Emergency Contact:
Emergency Phone:

Paddler 2:
First Name:
Last name:
Address:
City:
State:
Zip:
                         MM/DD/YY
Date of Birth:
Phone:
Email:

Emergency Contact:
Emergency Phone:

By leaving this box checked, I give permission to show on this website that I have registered in the race>>:

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