Georgia River Network Secure Online Paddle Georgia Registration


Georgia River Network
Paddle Georgia 2013

SOLD OUT

Secure Online Event Registration Form
REGISTER TODAY!
A $25 late fee will be applied for registrations received after May 20.

Please note that all fields with an asterisk (*) are required fields.

Do not use the AUTO FILL feature on your browser


If participants reside at different addresses, please register separately.

                    Title:          
                    *First Name:          
                    *Last Name:          
                    *Address 1:          
                    Address 2:           
                    *City:          
                    *State:          
                    *Zip Code:          
                    *Cell Phone:          
                    Home Phone:          
                    *E-mail:          

I have Medical Training:
 MD   RN   EMT   PA   First Aid Certified   NO Medical Training 

Person to contact in case of emergency:
Name:  Phone: 

Paddlers’ Information

Participants


Full Name
For important
information
Click here
Category
For important
information
Full Meals Deal
For important information
Click here
T-Shirt Size
For important
information
Click here
Subtotal Amount $
Paddler #1:    
Paddler #2:    
Paddler #3:    
Paddler #4:    

If purchasing the full meals deal option please indicate your sandwich choice for each day below using the following abbreviations:
Sa-Su-Mo-Tu-We-Th-Fr

Please use dashes to separate the dates, not commas.


Paddler
#1: 

 Turkey salad: 

Pimento cheese: 

PBJ: 

Hummus: 

Ham: 

#2: 
 Turkey salad:  Pimento cheese:  PBJ:  Hummus:  Ham: 

#3: 
 Turkey salad:  Pimento cheese:  PBJ:  Hummus:  Ham: 

#4: 
 Turkey salad:  Pimento cheese:  PBJ:  Hummus:  Ham: 

Shuttle Registration
Where do I leave my car?

If you wish to utilize Paddle Georgia's Kick-Off (June 14 from Bainbridge to Albany at 1pm) or Trip's End Shuttle (June 22 from Bainbridge to Albany at 9am) (See "Where Do I Leave My Car?" in FAQs), please include these fees in your total registration payment. Not sure of your plans? You may register for this later through the participant information packet.

# of Paddlers:      @$25 
# of Boats:          @$20 

Which shuttle? Choose one.   Kick-off   Trips end   I won't need a shuttle 

For additional Paddle Georgia T-Shirts and Hats, please make your selection below:
T-Shirt #1 Size:  @$15
T-Shirt #2 Size :  @$15
T-Shirt #3 Size:  @$15
Ball Cap quantity: @$15

Bucket Hat quantity:          @$25 

Here's an additional tax-deductible donation to support the work of GRN: $ .00 (no commas, please)

 

 

Total Amount $:  *
.00              

Credit Card Type: *
Credit Card Number: * (No spaces, please)
Expiration Date: * /

How did you find out about Paddle GA?:

Help us publicize Paddle Georgia! We'll submit a news release to your hometown paper
about your participation in Paddle Georgia!
 Yes   No 
Name of Hometown Paper:

Photographic, Video & Audio Rights
Participants and volunteers grant absolute right and permission to Paddle Georgia, or its assignees, to use any photographic images, and audio and video recordings, taken of themselves, their minor children, and their boats, for publication or distribution through any media whatsoever, including the internet, for editorial, advertising or promotional purposes, as determined by either Paddle Georgia or its assignees.

Refund Policy
Registration, Kick Off and Trip's End shuttle, and meal fees may be reimbursed prior to June 1. Refunds will not include reimbursement of any processing fees.

Paddle Georgia Policies
For your safety and the safety of others.
1.) No alcoholic beverages will be allowed.
2.) All participants must attend the pre-launch safety briefing. Participants must adhere to the safety guidelines presented.
3.) Participants must wear a properly fitted U.S. Coast Guard approved personal floatation device at all times on the river.
4.) Participants under age 18 are the responsibility of, and must be accompanied by, a parent or guardian.
5.) Sorry, no pets allowed.
6.) All participants must sign a Medical and Emergency Contact Information sheet and a Waiver of Claims and Release of Liability form. Parents must sign for children under the age of 18. (These forms will be sent in the info. packet.)
7.) Person-powered watercraft only.
8.) All participants must respect private property along the river.
9.) All participants must have basic paddling skills and be capable of self-rescue in the water.
10.) No more than 2 children under the age of 12 per adult guardian.
11.) Georgia River Network is not responsible for any personal property that may be lost, damaged, or stolen during the trip.
Violations of these policies can result in the participant being removed from the event without refund.

*  I have read the policies and conditions of participation outlined in this form and agree to abide by all participation rules and policies.

Take the Paddle Georgia Pledge! (Check the box below and make a commitment!)
*      I, being of reasonable sound mind and body--though just crazy enough to spend seven days on a river--do solemnly pledge to save Georgia's water by joining a local watershed group or taking action to protect a stream, river, lake or wetland near my home.


About SSL Certificates


After ensuring that all of the information above is correct,
please click the Submit Form Now button ONLY ONCE.
Multiple clicks of the submit button will result in duplicate charges to your credit card.

  
Georgia River Network
126 S. Milledge Avenue, Suite E3
Athens, GA 30605
Ph: 706-549-4508 / Fax:706-549-7791


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