2019 Paddle Battle Registration
Last name *
Your answer
First name *
Your answer
Email Address *
Your answer
Gender *
Note: Any paddler may register using the gender to which they identify and have transitioned or are in the process of transitioning as a transgender person.
Primary Phone Number *
Your answer
Street address 1 *
Your answer
Street address 2
Your answer
City *
Your answer
Province *
Postal Code
Your answer
Emergency Contact Name *
Your answer
Relationship with Emergency Contact
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact Email Address
Your answer
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This form was created inside of Fairway Gorge Paddling Club Society.