APRIL 26 & 27, 2008 A Crazy Canoe, Kayak and Raft Race on the Canandaigua Outlet
Wild Water Derby Registration Forms
Listed below is Saturday's Derby Registration form. (for Sunday's events & Craft Show see below)
Rafter competing on Saturday only pays $15 for registration plus $10 mandatory insurance = $25 per person
Kayaker competing on both the Saturday derby race plus any or all of the Sundays Slaloms and Sprint pays $30 for registration plus $10 mandatory insurance = $40 per person

We are pleased to keep the registration cost at the same level for more than 10 years.
However, same day or late registration is an additional $10 per person ($35 / $50 respectfully).

Your Name: ______________________________________________
Your Team Captains Name (if applicable): ________________________
Team mate: ______________________________________________
Team Mate: ______________________________________________
Team Mate: ______________________________________________
Team Mate: ______________________________________________

Classification: ______ ACA Number (if applicable):__________
K1-Men C1-Male C2-Female R-Raft
K1-Female C1-Female C2-Male S-Specialty
K1-Junior C2-Mixed

Your Email Address or Phone (Updates):_________________________
Mailing Address (found items, photos):__________________________
__________________________

Option #1 – Send an email to: mschaertl@stanleyworks.com with the above information, make payment via Pay Pal account on this site on the same day.
Option #2 – Via US Mail, send information with a Check (“SMACC”) to:
Wild Water Derby
PO Box 361
Shortsville, NY 14548
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