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Join us for Nantahala Kids Club!

Registration form:

Nantahala Kids Club is a 4 week after school program in fall and spring.

Program Dates & Times:

Monday, April 20, April 27, May 4 and May 11from 4PM–6PM
Sunday, May 17 from 10AM–4PM

NKC Cost:

$50 for the first child registered
$25 for each additional child in the same family

Email(Required)

How Many Children are you registering?

Please enter a number from 1 to 3.

Your Child's First Name(Required)

First

First Child's Date of Birth(Required)

Month

Day

Year

Your First Child's Height and Weight:(Required)

Your Second Child's Name

First

Second Child's Date of Birth

Month

Day

Year

Your Second Child's Height and Weight:

Your Third Child's Name

First

Third Child's Date of Birth

Month

Day

Year

Your Third Child's Height and Weight

Parent's Full Name(Required)

First Last

Parent's Phone Number(Required)

Full Physical Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Participant Status(Required)

New Participant

Returning Participant

Your Child's Experience Level(Required)

Beginner/Never attended NKC

Intermediate - has attended, can wet exit and/or is comfortable on moving water

Advanced - is comfortable on moving water and is looking to be a leader for younger kids!

What Gear Will Your Child/Children Need(Required)

Boat

Helmet

PFD

Paddle

Spray Skirt

No gear needed

Will you need equipment for a second child?

Will you need equipment for a third child?

Any Allergies or Pertinent Medical Information?(Required)

Emergency Contact #1 (Full Name, phone number, relationship to participant)(Required)

Emergency Contact #2 (Full Name, phone number, relationship to participant)

Registration Fee(Required)

Total

Payment Method(Required)

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

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Don’t worry, we’ll never share your information with third parties.

Join us for Nantahala Kids Club!

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Thank you! Your email address has been successfully submitted. Now go get outdoors!