REGISTRATION Name* First Last Age*Shirt Size* Small Medium Large X-Large 2X-Large Provide shirt size to receive a FREE tee shirt (NOTE: Pool Floatie participants do not receive a shirt)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail EVENT(S) YOU WISH TO COMPETE IN:FREESTYLE MEN Quantity Price: $25.00 Quantity FREESTYLE WOMEN Quantity Price: $25.00 Quantity BOATERCROSS SHORT BOAT MEN Quantity Price: $25.00 Quantity BOATERCROSS SHORT BOAT WOMEN Quantity Price: $25.00 Quantity BOATERCROSS LONG BOAT MEN Quantity Price: $25.00 Quantity BOATERCROSS LONG BOAT WOMEN Quantity Price: $25.00 Quantity RIVER BOARD MEN Quantity Price: $25.00 Quantity RIVER BOARD WOMEN Quantity Price: $25.00 Quantity POOL FLOATIES Quantity Price: $10.00 Quantity Total $0.00 Payment MethodPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
