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2017 Eric Hughes Distance Race Nov 12, 2017
This form is only for racers who are not in the training camp. If you are in the Frostbite camp, you are automatically entered in the distance race.
Paddler's First Name *
Your answer
Paddler's Last Name *
Your answer
Paddler's Club *
Your answer
Paddler's ACA membership number (enter 'one-day' if you are buying the one-day $5 membership) *
Your answer
Paddlers' ACA expiration date (enter 'one-day' if you are doing that) *
Your answer
Street Address *
Your answer
City *
Your answer
State/Province *
Your answer
Zip Code/Postal Code *
Your answer
Birthdate *
dd/mm/yyyy
Your answer
E-mail address *
Your answer
Gender *
Discipline *
Eric Hughes Distance
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