Athlete's Full Name
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First Name
Last Name
Athlete Date of Birth
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Select for the athlete - age the athlete was on Jan 1, 2026
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Under 12 Female
Under 14 Female
Under 16 Female (New U16's race with U14)
Under 12 Male
Under 14 Male
Under U16 Male (New U16's race with U14)
I am a Coach AT THE EVENT
The athlete named above:
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Is currently in a CCC L2P program
Was in a previous CCC L2P program
Is currently in the CCC Sprint program ( U12/U14, U16)
Attended a 'Bring a Friend Day'
Is a member of another Canoe Club
I am a Coach AT THE EVENT
Event Shirt Size Selector. Note: late entries may not get the exact size they like. Register early....
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Youth XS
Youth S
Youth M
Unisex XS
Unisex S
Unisex M
Unisex L
Unisex XL
Contact information
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Rows
Parent Name
Parent Phone
Parent / Guardian Authorization
E-mail to receive copy of this form (this will be main contact email, only 1 email please)
*
example@example.com
Is there anything special that we need to know.
I, as the parent or legal guardian of the registrant, hereby confirm the information provided is correct.
*
Submit Now & head to payment
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