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Molokai Hoe Intent to Participate & Canoe Shipping
Your intent is confirmed by completing this form and purchasing canoe shipping.
Coaches Information
Today's Date
*
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Canoe Club
*
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Information and links to additional forms (incl. crew registration) will be sent to the email address entered in the field below.
Coaches Email Address
*
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First Name
*
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Last Name
*
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Phone Number
*
Alternate Phone Number
*
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Canoe Club Information
Street Address
*
Address Line 2
City
*
State/Province/Region
*
Zip/Postal Code
*
Country
*
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Canoe Club Phone Number
Website
(full URL begin with http://)
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