Step 1 of 2 50% Name* First Last Registration Type2018 Team CaptainTeam Name*Team Captain Name*Company Name (if applicable)Gender*MaleFemaleDate of Birth* Phone*Email Address* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact*Emergency Contact Phone*MedicationsPlease list all medications that your Team Captain & Festival Director should be aware of.T-Shirt Size*Adult SmallAdult MediumAdult LargeAdult XLAdult XXLDo you want to signup for Festival Updates?*YesNoEach team member can sign themselves up to your team's updates and set their preferences. Team FundraisingWould you like to donate money toward your team registration fee? Paddlers should expect to contribute $125 or less depending on the team you join.PaymentTotal $0.00 Form of Payment*Pay OnlinePay in PersonThis page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.