Rockin' the River - Remmel to Rockport Regatta
A First Step Foundation Fund Raiser Presented by SYKES

First Name Last Name

Street Address
Street Address Line 2
City State
Postal / Zip Code

Phone Number*
Area Code Phone Number


Team Name/Team Captain
(Only if you are registering with a TEAM)

T-Shirt Size*

Registration Age*
$20.00 USD
$30.00 USD

You must press the Add Participant button even if it's only one person


Waiver of Liability*

Photo Consent*

Terms Of Agreement*

Registrant Signature* Please Make sure you use the name on your credit or debit card as your signature. This is to match payments.