JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Mana Kayak Racing Club - December 2013 Training Camp
This registration form is for the Mana Kayak Racing Club Training Camp on the 30th November and 1st December 2013 at Greg's Place, Pauatahanui. Payment details will be included on upon confirmation of completing this form.
If you have any questions about the camp then please contact MKRC via email at
manakayakracing@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Address
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Date of Birth
*
format example: 01/01/1980
Your answer
Medical Conditions
Please include any medical conditions you suffer from which camp coaches/supporters should be aware of.
Your answer
Emergency Contact Person
*
Your answer
Emergency Contact Person - Contact Phone Number
*
Your answer
Special Dietary Requirements
Your answer
Kayak type you plan to use at camp
*
Eg. K1, TK1, Multisport, Sea Kayak etc
Your answer
Do you require the use of a club kayak?
*
Yes
No
Do you require the use of a club paddle?
*
Yes
No
Training Camp fee
*
Mana Kayak Racing Club Member (camp fee = $50)
Non-member (camp fee = $90)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
