Denver Flat Water Challenge

Please fill out all the needed information on the form for the FRPA Denver Flat Water Challenge

Personal Information

Please fill out all Information

First and Last Name*Address (City, State/Country, Zip)*

If not, a fee of 5.00 will be added for this event only.

Are you a current FRPA Member for 2007 *Phone number for Contact*

Race and Participation info

Please place you class and age info below

Age*
Sex*

Choose 1 class type, Additional classes may be registered at event

Class TypeKayakCanoe- DeckedOpen Canoe C2 OC2K2*

Race/Event Fee

Please provide you credit card info to pay the non-refundable race fee to the FRPA.

Card Number*

!0/2007

Expiration Date*Billing Adress (city, state, Zip)Name on Card*

on back of card near signature area

3 Digit Code on rear of Card*


Consent and USACK Info

Permissions

Please fill out the following permission info

I provide my permission to charge my credit card and authorize my son/daughter to participate in the 3rd Annual Flat Water Challenge*

Not necessary for participation in event

Are you a member of USA Canoe/Kayak*

Additional Feedback Please post any additional questions you may have for the trip. We will respond back to you via email or phone.

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