Pitt Meadows Paddling Club

• Back to Calendar

• Event Detail

Outrigger Group Paddles - Registration Form

First name
Last name
Address
City
Province
Postal Code
Phone
Email	Confirmation message will be sent here
Sex	Male Female
Role	Please select Athlete Coach Official Volunteer Other
How did you hear about us?
Photo Release	Yes No
Do you have any allergies/important medical information?
Birth Date
Emergency contact name and number

Fee	Please select $150.0 - Club Membership and Program Registration $100.0 - Already a 2012 member??
Payment method	Please select PayPal Cheque Other At this time we can only accept Credit Cards using PayPal.
Comments

• Login

• Terms
• Privacy