Class & Trip Registration
Name *
Your answer
Email *
Your answer
Mobile Phone *
Your answer
Address (street, city, state, zip) *
Your answer
Age *
Your answer
Gender *
Height *
Your answer
Weight *
Your answer
Please list any allergies that cause physical reactions and severity (please include medications used for treatment)
Your answer
Please list pre-existing medical conditions and/or relevant injuries
Your answer
Please list current medications
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Are you an ACA Member?
Event *
When would you like to schedule the class? (If applicable)
Your answer
Do you know how to swim?
In a few words please describe your paddling experience
Your answer
Thank you!
Once we review the information you provided we will email you a link to provide payment. Please remember, registration in the event is not confirmed until payment has been received and processed.
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