Full name must be filled out
Birthday must be filled out
Select a paddling group
Enter your valid phone number
Enter your valid email
Enter your street address or PO Box
Enter your city
Enter your zip code
Emergency contact name is required
Emergency contact phone is required
Guardian name is required
Guardian contact is required
Yes
No
Please select one
Enter the club you paddled for
Yes, via the club Venmo Account @HokualeleCanoeClub
Yes, by cash to a club representative