EVOPC - New Paddler Request Form

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EVOPC - New Paddler Request Form

* Indicates required question

Email *

Your email

First and Last Name
*

Your answer

Contact Number

Your answer

Birthdate *

MM

/

DD

/

YYYY

Paddle Side

Right

Left

Both

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How did you hear about us?
*

Your answer

Past paddling experience (if any)

Your answer

Where would you rate your fitness level

Coach Potato

1

2

3

4

5

Very Active

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Anything you'd like us to know (fun facts included)

Your answer

A copy of your responses will be emailed to the address you provided.

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