June 9-11, 2017
32nd Anniversary Coosa River Whitewater Festival
REGISTRATION FORM
Festival Site: 172 River Road, Wetumpka, AL 36092
For additional information, call 334.202.3050, 334-201-1059 or 334.201.5510.
Name:______________________________
Phone: (____) ______________
Email: ________________________________
Street or PO Box _________________________________ City ____________________________ State ________ Zip __________
Method of Payment:
Cash
Credit Card
Personal Check (Photo ID, Phone No., DOB, Current Address Required)
Address: _________________________________________
______________________
________
_________
Street Address
One Free Tee Shirt-- Circle Size:
City
Jr. XL
SM
MD
State
LG
Zip
XL
XXL
EXTRA FESTIVAL SHIRTS @ $15 AVAILABLE: ORDER BY SIZE IN PAYMENT SECTION
There must be 3 (three) registered boats to form a Class. Bib Deposit: $10 CASH. Each competitor in the kayak competition must
provide a $10 cash bib deposit at registration. Only the $10 CASH deposit will be returned once the bib is returned.
SATURDAY, JUNE 10: BIG SIDE OF THE GAP
[ ] Junior Freestyle through the Rapid: (AGE 16 OR YOUNGER AS OF 01/01/17) Date of Birth: __/___/___
[ ] OPEN Freestyle Through the Rapid: [ ] Women’s [ ] Men’s Cash Purse for Top 3 Finishers: 1st:: $200, 2nd: $100 & 3rd: $50
OPEN CLASSES:
[ ] King of the Wave (Decked Boats Only
[ ] Boater X (SOT/SUP Only)
SATURDAY, JUNE 10 AND SUNDAY, JUNE 11
[ ] 10 am – 5 pm
Lazy Day Paddle (Fun Float)
From Coosa Outdoor Center Shuttle: [ ] 10 am or [ ] 12 noon
ALL SHUTTLE TIMES: → Coosa River Adventures Shuttle: [ ] 9 am or [ ] 11 am
SUNDAY, JUNE 11
[ ] 11 am - Home Town Throw Down Style Judged by Hometown Throw Down Competitors (Bragging Rights Only)
SUNDAY, JUNE 11: LITTLE SIDE OF THE GAP
[ ] 12 noon - Classic Ender Competition on Little Side of Gap: (Open to All Competitors (Limit 20 Boats)
Registration Fees
Mail your completed Registration Form and check payable to Coosa River Paddling Club before June 3rd to CRWWF,
Coosa Outdoor Center, 172 River Road, Wetumpka, AL 36092
Please support our event as the net proceeds from the 2017 Coosa River Whitewater
Festival will be used to update amenities at Corn Creek Park, Wetumpka, AL
Registration Includes
free camping, t-shirt,
COC people only (no
boats) shuttle to put in
Sat. & Sun. at 10am or
12pm and from CRA a
people plus boat
shuttle 9am or 11am.
Fri. & Sat evening
music for registered
participants.
Indicate No.
of Each Below
Cost:
Registration Fee for Fun Float Only
Whitewater Intermediate/Expert Class
Party Tickets (June 9rd and 10th) for Unregistered Guests
Camping for Unregistered Guest
Extra T-Shirts ___Jr. XL, __ SM, ___MD, ___LG, ___ XL, ___XXL
Saturday Shuttle to Put-In for Unregistered Guest
x
x
x
x
x
x
$
$
$
$
$
$
30
30
5
5
15
7
Sunday Shutter to Put-In for Unregistered Guest
x
$
7
2017 Coosa River Paddling Club Annual Family Membership
x
$ 10
CRPC LIFE MEMBERSHIP
x
$100
Major Credit Cards will be accepted at Coosa Outdoor Center
Subtotals
Total
Complete the Registration Form and the age appropriate Adult Waiver and/or the Waiver for Minors (paddlers who are age 17 and
younger that be signed by the parent or legal guardian of the minor participant. Payments Accepted: Major Credit Cards, Checks with
ID, and Cash. Do not mail registration forms and payment later than Saturday, June 3rd. Coosa River Paddling Club will not be
responsible for payment not delivered timely. Make checks payable to CRPC and remit to 172 River Road, Wetumpka, AL 36092.
Viewing of the Competition is only Available by Paddling the Coosa River
Canoe and Sit-on-Top Rentals:
Coosa Outdoor Center: 334.201.5510
Coosa River Adventures: 334.514.0279