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Paddler Info

Last Name (required):

First Name (required):

Nickname:

Age range:

Shirt Size:

If minor, name of Parent/Guardian completing this form:

Contact Info

Note: If minor, please input contact information of Parent/Guardian.

Email (required):

Address:

Home Phone:

Work Phone:

Cell Phone:

Paddling Info

Division:

Steering Ability:

Years of Paddling Experience:

Do you own any of the following? (Check all that apply):

 Paddle

 OC-1

 OC-2

 OC-4

 OC-6

 Boat

 Trailer

Other (Please specify):

Interests & Skills

Check the areas that you are interested in (check all that apply):

 Regatta Season (short)

 MIL Paddling

 Off-Season Training

 Youth Programs

 Distance Paddling

 Fundraising

 Cultural Programs

 Coaching

 Recreational Paddling

 Canoe Voyaging

 Paddling Clinics



 OC-1

 Canoe Surfing

 Weight Training

Other: (Please specify):

Additional Info

Employer/Occupation:

Special Skills:

Hobbies/Special Interests:

Additional Information/Comments:

Please note that in order to paddle with Hawaiian Canoe Club, you must complete additional registration paperwork and waivers, and pay the appropriate annual dues. A new waiver must be completed every April. Additionally, any changes to your phone number, mailing address or email address, should be provided to us in a timely manner. You will receive an email within 3 business days with instructions on how to complete the Registration process.

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