1. Personal Information

 
 25% of survey complete.
This page is for the collection of contact and paddling information for anyone wanted to register for and race with the Rusty Dragons composite team(s) in Puerto Rico. We only collect what we need and do not share this information with anyone. We welcome our friends from Canada, the USA, and beyond!

Note: Please ensure that as you complete each page you click on the NEXT button, and then the DONE button on the final page.

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* 1. Please enter your FULL name in format "Firstname Lastname".

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* 2. Please enter the e-mail address that you would like us to contact you with.

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* 3. Please enter your phone number. We normally shouldn't need to call you, but should anything come up closer to the trip this might be important for your benefit. A cell number is preferable if you have one.

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* 4. [Optional] Medical Alerts: Please indicate if you have any allergies or medical condition that you want to share with the team manager/coach/captains for your own safety. It will not be shared with anyone else.

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