US OPEN OF HYDROFLIGHT

US OPEN OF HYDROFLIGHT REGISTRATION:
Important: Enter a valid e-mail address. Receipts will be sent to this address.
*E-Mail:
*First Name:
*Last Name:
*Street Address:
*City:
*State:						Other countries, below states
*Zip Code or Canadian Postal Code
Country of Origin:						USA if otherwise not selected
*Phone:
*Date of Birth:						Under 18 yr needs birth cert.
*Emergency Contact
*Emergency Contact Phone Number
Check here if you have a medical condition you would like PWX to be aware of?
Emergency Medical Information:						Allergies, MED condition, etc.
Read the Release and Waiver for Pro Watercross Events
*YES, I have read and understand the Release and Waiver for Pro Watercross Events

ENTRY INFORMATION: US OPEN OF HYDROFLIGHT
List Sponsors Here:
CLASS SELECTION:
*Select a 1st Class:
*List Manufacturer

Select a 2nd Class:
*List Manufacturer

Select a 3rd Class:
*List Manufacturer

WATERCRAFT SURCHARGE:
Watercraft Surcharge: ($25.00):

CHECK-IN IS REQUIRED................REGISTRATION IS NOT FINAL UNTIL YOU COMPLETE PAYPAL

Grand Total:
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