PDBC Registration 2018
Registration Form for Recreational, BMO, Competitive and Youth programs
First name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
Your answer
Gender *
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Which Program Are You Registering For? *
Paddling Side *
Paddling Division Based on Age (Competitive Only)
Regatta Attendance
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