2019 Packraft Roundup Registration Form

Select the number of participants in your group (14 years and older) registering for the Roundup today: *

Select the Quantity of participants 14 years and older in your group... *

2019 Packraft Roundup $ 100.00

Quantity

Enter coupon

Total $ 0.00

Are any participants in your party 13 years old or younger? *

Participant #1's Full Name *

First Name Last Name

Participant #1's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Participant #1's E-mail *

Your email will be automatically subscribed to a list to receive Roundup updates.

Subscribe to Roundup Updates *

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Participant #1's Mobile Phone Number *

Country Code Area Code Phone Number

If you are a member of the American Canoe Association, please enter your member number here:

Participant #1: Please rate your paddling ability...

Participant #1: Please indicate your packrafting experience...

Participant #2's Full Name *

First Name Last Name

Participant #2's E-mail *

Participant #2's Mobile Phone Number *

Country Code Area Code Phone Number

If this person is a member of the American Canoe Association, please enter their member number here:

Please rate the paddling ability of Participant #2...

Please indicate the packrafting experience of Participant #2...

Participant #3's Full Name *

First Name Last Name

Participant #3's E-mail *

Participant #3's Mobile Phone Number *

Country Code Area Code Phone Number

If this person is a member of the American Canoe Association, please enter their member number here:

Please rate the paddling ability of Participant #3...

Please indicate the packrafting experience of Participant #3...

Participant #4's Full Name *

First Name Last Name

Participant #4's E-mail *

Participant #4's Mobile Phone Number *

Country Code Area Code Phone Number

If this person is a member of the American Canoe Association, please enter their member number here:

Please rate the paddling ability of Participant #4...

Please indicate the packrafting experience of Participant #4...

Participant #5's Full Name *

First Name Last Name

Participant #5's E-mail *

Participant #5's Mobile Phone Number *

Country Code Area Code Phone Number

If this person is a member of the American Canoe Association, please enter their member number here:

Please rate the paddling ability of Participant #5...

Please indicate the packrafting experience of Participant #5...

Participant #6's Full Name *

First Name Last Name

Participant #6's E-mail *

Participant #6's Mobile Phone Number *

Country Code Area Code Phone Number

If this person is a member of the American Canoe Association, please enter their member number here:

Please rate the paddling ability of Participant #6...

Please indicate the packrafting experience of Participant #6...

Please provide full names and ages of participants in your group under 14 years of age...as well as parental contact information if different from your own... *

Number of motor vehicles that your party will be using to travel to the Roundup:

Parking is limited to 50 vehicles. Please carpool if possible.

Type of vehicle(s) that your party will bring to the Roundup *****(We are currently at max capacity for pull behind trailer space or motor homes, please don't plan on bringing either to this campsite.) ****

small car, station wagon, camper van, or pickup truck motorcycle

How interested are you in participating in an APA organized river trip for beginner and intermediate paddlers?

Very interested, this is why I am attending the Roundup Somewhat interested but plan on joining up with others on private self organized trips during the Roundup No thanks

We need experienced packrafters to co-lead APA organized river trips (2 trip leaders with 6-8 participants for a 1/2 day outing). Would you like to help?

Yes, I am experienced and would like to co-lead an outing Maybe, send me more details No thanks

Are you interested in participating in a Skills Clinic or Class 3/4 professionally led trip offered by Cascade Raft and Kayak? This is NOT included in Roundup registration, extra fees would be charged for this activity.

Skills Clinic Class 3/4 professionally led trip Not interested in either

Cascade Raft and Kayak is offering a half day advanced instruction course on class 3/4 stretch for Thursday July 18th for Roundup registrants at an additional cost. Visit this link if you are interested. A second course will open up if this one fills.

Register for the Advanced Instructions course here!

QUESTIONS? Please email info@packraft.org with any questions regarding the 2019 Packraft Roundup.

(To register by mail, please provide the information requested on this form, and include it with a check for the above amount to American Packrafting Association, PO Box 13, Wilson, WY 83014. If you are paying by check, you do not need to click "Register.")