ORCKA Registration Form
Please complete the form in order to receive your ORCKA Certification.
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Name of program or organization you represent. *
Date of your canoe course. *
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Are you Métis, Inuit or First Nations? *
First Name *
Last Name *
Date of Birth *
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Email Address *
Phone Number *
Street Address *
City *
Province *
Postal Code *
Country *
Promo Code
Submit
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