Phatwater Challenge Signup
 
Online Registration Terminates at Noon, October 7th

$65 for members of the American Canoe Association
$70 for non-members, to cover ACA Insurance

Each participant must be registered, you may submit a separate registration on your partner's behalf.

 

PARTICIPANT INFORMATION
   
NAME*  
First Last
   
GENDER*  

   
ADDRESS*  

Street Address

Address Line 2
City State ZIP
   
PHONE*  
Main Alternate
   

Email Address

AGE*
   
MEDICAL CONDITIONS* (Diabetes, etc. Enter NA if not applicable )
   
EMERGENCY CONTACT INFORMATION
   
NAME*  
First Last
   
PHONE*  
Main Alternate
   
   
ACA MEMBER*

ACA #

   
BOAT CAPACITY*
   
When registering tandem, list partner's name.

First
Last
   
Should you have more than two participants, please email register@kayakmississippi.com and we'll take care of you.
   
BOAT CLASS*
Kayak Categories











 

Canoe Categories