2021 Program Registration Tell us what you'd like to do?2021 Programs*Select Your ProgramJuniors Racing, Target local races (TBD) - Wednesdays June 9-Aug 4Adults Learn to Paddle - Beginners ($60) Tuesdays June 8 - 29 | $60Adults Learn to Paddle - Intermediate ($60) Tuesdays July 13 - Aug 3 | $60Adult Boat Club ($15/day or $100 for full summer), Tuesdays June 8 - Aug 17Family Learn to Paddle, Saturdays June 12 - August 7 | $100Would you like to register for a second session?* Yes No 2021 Programs - Second SessionSelect Your ProgramJuniors Canoeing: Session 2 - Monday July 12, 19, 26, Aug 2 | $40Juniors Kayaking/SUP/Surfski Session - Monday June 7, 14, 21, 28 | $40Juniors Kayaking/SUP/Surfski Session 2 - Monday July 12, 19, 26 & Aug 2 | $40Juniors Racing, Target local races (TBD) Wednesdays June 9-Aug 4Adults Learn to Paddle - Beginners ($60) Tuesdays June 8 - 29 | $60Adults Learn to Paddle - Intermediate ($60) Tuesdays July 13 - Aug 3 | $60Adult Boat Club ($15/day or $100 for full summer), Tuesdays June 8 - Aug 17Family Learn to Paddle, Saturdays June 12 - August 7 | $100Total Due Contact InfoItems with * are required fieldsReturning Member* Yes No Athlete* First Last Athletes Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Athlete's Home PhoneAthlete's Mobile PhoneAthlete's Email* Athlete's Birth Date* MM slash DD slash YYYY Athlete's Gender* Male Female Preferred Contact Method Email Text Facebook HiddenAgeAbout AthleteSchool Attending Current Grade How did you hear about RCBC? Paddling Experience Beginner Intermediate Advanced Other sports you participate in T-Shirt size Small Medium Large X-Large XX-Large Parent's Info (If under 18 years of age)Mother / Guardian 1 First Last Mother / Guardian's Mobile PhoneMother / Guardian's Email Father / Guardian 2 First Last Father / Guardian's Mobile PhoneFather / Guardian's Email Emergency Contact InfoEmergency Contact Name* First Last Emergency Contact Phone*Emergency Contact Relation* Photo ReleaseI understand that photos and videos will be taken of RCBC (Rice Creek Boat Club) members throughout the season both at practices and competitions. And I understand that I (or my child) may end up in one or more of these pictures or videos as either the focal point or in the background. I give my consent for the RCBC to use my (or my child’s) photograph and likeness, to be used in its publications, promotional video/slideshow, and website. I hereby waive any right to inspect or approve the finished photographs/videos or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown. I release the RCBC from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below.Date* MM slash DD slash YYYY Have you read and do you agree to the Photo Release?* Yes, I have read and agree to the Photo Release Athlete Signature*Parent SignatureScholarship Discount Total Credit CardCard Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.
