Event registration
13th Annual Rivanna River Regatta Canoe & Kayak Race
First Name *
Your answer
Last Name *
Your answer
Address 1 *
Your answer
Address 2
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Gender *
Email *
Your answer
Kayak / Canoe? *
Single or tandem?
Length of boat
Boat construction
Mobile phone # on race day
Your answer
Your age as of May 12, 2018? *
I am an American Canoe Assoc. (ACA) member
If yes to above, my ACA Membership # is:
Your answer
I understand that I will have to pay $$ upon arrival *
Required
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