Paddler Registration

Account Information

Email*

Password*

Strength indicator

Paddler Information

Person Registering*

I am over 18 and registering myself
I am a parent/guardian registering a minor under 18

Club Affiliation*

Paddler Type*

Personal Information

Name*

First Last

Birth Date*

Gender*

Male
Female

Contact Information

Phone Number*

Address*

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

Emergency Contact Information

Name*

Phone*

Relationship

Additional Information

Disclaimer: This is not public information and will only be used for marketing purposes for SCORA. No information will be sold or used for any other purpose.

Relationship Status

Occupation

Income

Education

Number of Children

Other Activities

Running
Weight Lifting
Hiking
Biking
Surfing
Swimming
Kayaking
Yoga
Stand Up Paddle

First Year Paddled

Attend races outside of SCORA?

Yes
No

Comments

This field is for validation purposes and should be left unchanged.