KAOS Paddler 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 *
KAOS Paddler's Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Current Age
Your answer
Address
Your answer
School District and grade
Your answer
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