Kamloops Water Ski Club
Adaptive Clinic: July 8 & July 9, 2017
Register
Hey! A payment field in this typeform can’t load in your browser. To pay and submit your responses, please view this typeform in one of these browsers.
 
What is the participant's first name? *

 
What the participant's last name? *

 
What is the participant's gender? *


 
What is your phone number? *

 
What is {{answer_huQW}}'s date of birth? *

 
Address

 
Street *

 
City *

 
Postal Code *

 
Medical details

Do you have any medical conditions, allergies or injuries?
 
Which dates would you like to attend? *

$30 for one day or $60 for both days.

 
Clinic Registration Fee {{var_price}} *

{{answer_51919303}}
Sorry, your browser doesn’t support payments
 
Refund Policy *

Clinic registration fees are non-refundable.
     
Thank you for registering for the clinic. You will receive a confirmation email shortly. 

Please contact info@wswbc.org with any questions.
Back to WSWBC