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Child's Name*

First Last

Gender*

Male

Female

Age*

Is Child #1 an annual pass holder?*

Parent/Guardian Name*

First Last

Gender*

Male

Female

Age*

Phone*

Email*

Address*

Street Address City State ZIP Code

Register for activity day(s)

Select day(s) you want to register

$3/session

Annual Pass Holder - Select day(s) you want to register

Wednesday, May 7 (Non pass holder)

Price:

Wednesday, May 21 (Non pass holder)

Price:

Wednesday, June 4 (Non pass holder)

Price:

Wednesday, June 18 (Non pass holder)

Price:

Wednesday, July 2 (Non pass holder)

Price:

Wednesday, July 16 (Non pass holder)

Price:

Wednesday, August 6 (Non pass holder)

Price:

Wednesday, August 20 (Non pass holder)

Price:

Wednesday, September 3 (Non pass holder)

Price:

Wednesday, September 17 (Non pass holder)

Price:

Wednesday, October 1 (Non pass holder)

Price:

Wednesday, October 15 (Non pass holder)

Price:

Do you need to register an additional child?

I have read and understand the U.S. National Whitewater Center's Assumption or Risk, Release, and Indemnity Agreement.*

I understand

Assumption of Risk, Release, and Indemnity Agreement

Total

Credit Card*

Card Details

Cardholder Name

Billing Address*

Same as Participant 1

Street Address City State ZIP Code

Promo Code

Total

Register for activity day(s)

Additional Child #2

Register for activity day(s)

Additional Child #3

Register for activity day(s)

Additional Child #4

Register for activity day(s)