| Name #1:
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| Name #2:
Registrant is under 7 years of age:
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| Name #3:
Registrant is under 7 years of age:
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| Name #4:
Registrant is under 7 years of age:
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| Name #5:
Registrant is under 7 years of age:
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| Street Address:
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| City:
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| State:
Zip Code:
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| Home Phone:
Alt Phone 1:
Alt Phone 2:
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| Email Address:
I do not have an email address:
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| (All correspondence will be sent via email unless the "I do not have an email address" box is checked)
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Person to contact in case of an emergency:
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| Name:
Phone:
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I have medical training:
MD:
RN:
EMT:
PA:
First Aid Certified:
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Registration fee, per person. Fees do not includes dinner Fri night, lunches, or parking fees at launch sites ($4-$5 depending on the river)
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Full Weekend:
$150 Adult / $40 Children Under 7 years of age (includes paddling trips, catered breakfast Sat, Sun and Mon/Dinner Sat and Sun and lodging Fri-Mon morning)
$75 Non-paddler (must accompany a registered paddler; includes catered breakfast Sat, Sun and Mon/Dinner Sat and Sun and lodging Fri-Mon morning)
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Daily Rate:
$75 Adult / $20 Children Under 7 (includes one day of paddling, that evening's catered dinner, the next morning's breakfast and lodging for one night)
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Number of Registrants Requesting Vegetarian Meals:
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Once registered, you will receive via email (or snail mail) a liability waiver form, meal menus, daily schedule, directions and other essential information.
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T-shirt Quantity/Sizes: (Each registrant receives 1 t-shirt; Please indicate quantity next to the appropriate size)
Youth: XS (2-4):
S (6-8):
M (10-12):
L (14-16):
XL (18-20):
Adult: S:
M:
L:
XL:
XXL:
XXXL:
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Questions: Email Lamar Phillips at lamarph@bellsouth.net
Refund Policy: No refunds after January 12, 2011.
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| Rendezvous Policies: |
| 1. | All Paddlers must attend the Saturday morning pre-launch safety briefing. Paddlers MUST adhere to the safety guidelines presented. |
| 2. | Paddlers must wear a properly fitted US Coast Guard approved personal flotation device and whistle at all times on the river. |
| 3. | Paddlers under age 18 are the responsibility of, and must be accompanied by, a parent or guardian. |
| 4. | All paddlers must sign a Medical and Emergency Contact Information sheet and a Waiver of Claims and Release of Liability form. Parents must sign for children under the age of 18. (These forms will be provided during check-in.) |
| 5. | People-powered watercraft only. |
| 6. | All paddlers must respect private property along the river. |
| 7. | All paddlers must have basic paddling and swimming skills. |
| 8. | No more than 2 children under the age of 12 per adult guardian. |
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Violations of these policies can result in the paddler being removed from the event without refund.
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