Paddlathon Participant Initial Enquiry
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Fundraising for
*
Charity 1
Charity 2
Charity 3
Charity 4
Charity 5
Charity 6
Your own Charity Choice (ballot)
If you would like to enter the Ballot to fundraise for an unlisted charity, please state which charity:
Which Class of boat
*
Relay - Canoe (8 person team)
Relay - Tandem Kayak (8 person team)
Endurance - Single Seat Kayak (3 person team)
Submit
Should be Empty: