A p p l i c a t i o n
for the 2014 Delaware & Raritan Canal Paddlers' Race
Advanced registration is required
Name and
Address
City
State ZIP
Phone
Email
Address
City
State ZIP
Phone
Email
Solo $
Tandem $
Canoe
Kayak
men
women
mixed
    The color of my boat is  
    Additional comments
I am a with an expected elapsed time of (h:mm)
I will be wearing a PFD    I will wear a paddling or bicycle helmet
Only available at this race: Request your start time
10:00 10:05 10:10 10:15 10:20 10:25

Click to see current Start times in another window.
mail this with
your check
payable to:   
"Meadows Foundation"
c/o Carol Sas
80 Winston Drive
Somerset, NJ 08873


Delaware & Raritan Canal Paddlers' Race
RELEASE
In consideration of being entered in this race, I the undersigned intend to be legally bond hereby for myself, my heirs, executors, and administrators, wave and release the Meadows Foundation, race supervisors, volunteers, D&R Canal Commission , State of New Jersey and sponsors for any and all injuries suffered by me in this event. I attest and verify that I am physically fit, and sufficiently trained for the completion of this event. I hereby grant full permission to any and all of the foregoing to use any photographs, video tapes, motion pictures, or any other recording or any other record of this event for any legitimate purpose.

Signed _________________________________ Date ___________

Print Name: _________________________________


Signed _________________________________ Date ___________

Print Name: _________________________________