YES, I'm Ready to Ripple!

Name____________________________________________________________________

Address____________________________________________________________________

City, State, Zip_____________________________________________________________

Phone________________________

T-shirt size: __S  __L  __XL  __2X  __3X


Name____________________________________________________________________

Address____________________________________________________________________

City, State, Zip_____________________________________________________________

Phone________________________

T-shirt size: __S  __L  __XL  __2X  __3X


This registration is for:

 ___1 canoe/kayak, 2 persons

___1 canoe/kayak, 1 person

___ other (please specify below)

_______________________________________

_______________________________________

Registration Fee:

$18 solo
$35 tandem
(includes a T-shirt, insurance, & shuttle)

Total participants x registration fee = 

$ __________________________

NON-REFUNDABLE. THE EVENT WILL BE HELD RAIN OR SHINE.

Make checks payable to:
Big Brother & Big Sisters of Central Iowa
P.O. Box 562
Ottumwa, IA 52501

Questions? Call 641-799-0392 or email registration@riverripple.com


Back to Registration Page.