KAOS Volunteer and Family Registration
This secure form allows you to provide your registration information privately with TRR staff. This information will remain confidential and will be released only with your expressed consent. In case of emergency where you are unable to provide consent, it may be release to medical personnel under implied consent.

If you prefer to provide this information via hard copy, please contact Jennifer Eaton at jennifer.eaton@teamriverrunner.org
Email address *
Name
Your answer
Address
Your answer
Date of Birth
MM
/
DD
/
YYYY
Preferred Phone Number
Your answer
Veteran Status
Disability Status
I am registering as;
If you are registering as a family member, please list the name of the KAOS Paddler you are related to;
Your answer
If you are a volunteer, are you affiliated with a TRR Chapter?
If yes, what chapter?
Your answer
If you are volunteering, what services can you offer? Please check all that apply
In the interest of your safety and well-being it is important that you disclose pertinent information about your disability and or health status. Please check any conditions that you are currently under the care of a physician or other medical professional.
Please check if you are or have been under treatment for any of the following
Submit
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