This registration form is for the "Rusty Belles" collective team for the Heart Lake Women's Regatta in Brampton on Sunday, May 28th, 2017.  While this is a collective team with paddlers coming together from other teams just for this event, it will include one practice during the week before race day in order to give everyone the chance to meet each other and practice together. 

This form will only take a few minutes to complete. It contains important information to help plan for the team. We only collect what we need and do not share this information with anyone.

NOTE: When you have answered all questions, please ensure that you click the DONE button once at the bottom of the form, and wait until you are displayed with the THANK YOU page. You may then close any Survey Monkey windows that were opened.

* 1. Please enter your full name (first and last).

* 2. Please enter your e-mail address. We will only use it to send you team and club information.

* 3. Please enter your birth date in the form MM/DD/YYYY. This is required for insurance purposes as all paddlers practicing at Balmy Beach will have insurance coverage set up using this information.

Birth Date
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* 4. [Optional] Please enter your full home address including city and postal code. This may be used if needed for team waiver forms and/or logistics planning if car-pooling is organized.

* 5. [Optional] Please enter your phone number. A cell number is preferable if available.

* 6. Please let us know what side of the boat you would like to paddle on. If you are new, please indicate "Don't Know".

* 7. [Optional] What team(s) have you paddled on before (or are starting to paddle with in early May)?

* 8. Please enter any comments you want to make that may not have been captured above. We encourage you to indicate what you are looking for overall from this team, and/or why you decided to join us!

Thank you for registering for this special dragon boat racing team. You will receive an e-mail confirmation within a few days from the team manager, coach, or team captain.

If you have any questions about the form, please don't hesitate to contact Tim MacFarlane at Tim@RustyDragons.ca or cell 647-971-7332.

When you click DONE, wait the for confirmation page and then you can close any open Survey Monkey windows.
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