Kayak Paddles Registration Form
= Required Information
Announcements
Your registration will not be submitted if there is missing or incomplete information.
Family Information
*
Family Name
Kayaking Date
Select Kayaking Date
--None--
*
Number
-None-
2
4
6
8
10
Address Information
*
Salutation
--None--
Dr.
Mr.
Mrs.
Ms.
Mx.
Prof.
*
First Name
*
Last Name
*
Street
*
City
*
State
*
Postal Code
Contact Information
*
Preferred Phone
--None--
Home
Work
Mobile
Mobile Phone
Home Phone
*
Preferred Email
--None--
Work
Personal
*
Personal Email
Work Email
Additional Information
*
How did you hear about us?
--None--
Adventure Aquarium Visit
Adventure Aquarium Website
Amy's List
Another Volunteer at Adventure Aquarium
Another volunteer website (VolunteerMatch, Fundly)
Aquarium Membership
Aquarium Visit
Attended Before
Attended CAUSE Camp Before
Brochure
Camp and Recreation Expo at Cherry Hill Mall
CAUSE Intern
Center Website
Channel 10
Channel 3
Channel 6
Comcast
Community Organization
Conference (DVAEYC)
Conference (NJEA)
Conference (NJLA)
Counsel
Craigslist
Email
Facebook
Friend
Instagram
Internet Search
Mailing
Met Center staff at event
Other
Pennsauken High School
Pennsauken Technical High School
Philly Fun Guide
Previous Camper
Previous Explorer
Print Ad
Radio
River Days
Saw us at another program
Spoke with a Center Staff
Summer Camp Addons
Tabling
Twitter
Unknown
Volunteer at other Institution
Website
Word of mouth
Workplace
Young Innovators Fair
Your School
Additional Comments
Age requirement Acknowledgement
I inderstand that no children under the age of 8 are permitted on kayak excursions.
*
Please check here to acknowledge that you have read and agree to the above policy
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