2024 KAOS Family Member 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

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Email *
Name *
Address *
Date of Birth *
MM
/
DD
/
YYYY
Preferred Phone Number *
I want to be referred to by the following pronouns.  
Veteran Status *
Required
I served in the: *
Required
I served in the Armed Forces: *
Required
I serve(d) as a First Responder as a
Disability Status *
Required
I am registering as; *
Required
If  you are registering as a family member, please list the name of the KAOS Paddler you are related to; *
What type of kayaking gear do you need us to supply for you? *
Required
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. *
Required
Please check if you are or have been under treatment for any of the following *
Required
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