COMPETITOR REGISTRATION
Registration for the 2006 World Cup Freestyle Kayaking Championships - PLEASE NOTE THE RATE IS ONLY $200 IF YOU REGISTER FOR ALL 3 EVENTS IN ADVANCE. ALL AMOUNTS ARE IN $US
$200 if you register for all three of the same events at each location. Additional subsequent entries will be $45 to a maximum of $90 dollars per additional category
Please tell us a little bit about yourself to help our announcers give the fans some fun and exciting facts about you. This will also go on to the website under "Atheletes Profiles" for all to see and learn about you!
CLICK HERE
if you are already registered and wish to reserve shuttles, accomodations, etc
Background color denotes publicly viewable fields
* FIRST NAME:
* LAST NAME:
PUBLIC PROFILE DESCRIPTION:
(Leave Blank if preferred)
GENDER:
M
F
* AGE:
WEBSITE URL:
ASSOCIATION/AFFILIATION:
CITY:
* COUNTRY:
PROVINCE/STATE:
* E-mail:
Height:
ft' in"
cm
Weight:
Lbs
Kg
CHECK THE EVENT(S) YOU WOULD LIKE TO REGISTER FOR:
All Entry Fees in $USD
OTTAWA RIVER
Men’s Squirt
($
95
)
C1
($
95
)
Junior Men
($
95
)
Women’s K1
($
95
)
Men’s K1
($
95
)
Junior Womens
($
95
)
Women’s Squirt
($
95
)
OC1
($
95
)
BLACK RIVER
Men’s Squirt
($
95
)
C1
($
95
)
Junior Men
($
95
)
Women’s K1
($
95
)
Men’s K1
($
95
)
Junior Womens
($
95
)
Women’s Squirt
($
95
)
OC1
($
95
)
ROCK ISLAND
Men’s Squirt
($
95
)
C1
($
95
)
Junior Men
($
95
)
Women’s K1
($
95
)
Men’s K1
($
95
)
Junior Womens
($
95
)
Women’s Squirt
($
95
)
OC1
($
95
)
The Fee is reduced to $200 if you register for all three of the same events at each location. Additional subsequent entries will be $45 to a maximum of $90 dollars per additional category
There will be a Late Fee of $30 for registrations after Wednesda
Payment Made By:
Credit card type:
Visa
Mastercard
American Express
Name of Cardholder:
Credit card number:
Expiry Date:
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
YOUR FIRST WHITEWATER PADDLING EXPERIENCE:
Country:
State/Province:
City:
River:
Number of Years of Whitewater Paddling Experience:
-- Choose --
Less Than 1 year
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 to 15 Years
16 to 20 Years
Over 20 Years
Your Most Memorable Whitewater Paddling Experience and Why:
Competitive Results:
Rodeo Name:
Result:
Rodeo Name:
Result:
Rodeo Name:
Result:
Rodeo Name:
Result:
Rodeo Name:
Result:
Sponsors:
Sponsor Name:
Sponsor URL:
Sponsor Name:
Sponsor URL:
Sponsor Name:
Sponsor URL:
Sponsor Name:
Sponsor URL:
Sponsor Name:
Sponsor URL:
Other Hobbies/Interests:
Favorite Music:
Video Moments:
ADDITIONAL COMMENTS:
DO NOT CLICK THE REFRESH BUTTON AFTER SUBMITTING THIS REGISTRATION FORM
After you submit this information, you will be prompted to upload an image that will be viewable online with your public Athelete Profile. This process may take a few minutes depending on your connection speed and/or CPU speed.
The image restrictions are as follows:
Format: jpg
Max Width: 440 pixels
Max Filesize: 150 kbs
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