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Participant Registration

Participant registration information

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* 1. Address

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* 2. Please provide your diagnosis or illness

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* 3. Age

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* 4. Have you been injured for more than 1 year

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* 5. Have you participated in adaptive watersports before?

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* 6. Have you completed and passed the water in-take test ?

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* 7. Do you have any special conditions we should be aware of?

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* 8. Your caregiver and family & friends are encouraged to go with you. They do not need to pay to attend. How many guests will be attending with you?

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* 9. What activities would you like to participate in?

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* 10. Please sign up below

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* 11. If you would like to order a shirt for $15.00 please let us know what size you need.

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* 12. Thank  you for completing this form. See you at the lake! 

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