EmailMe Form - Akron Adventures Pre-Registration

Name *

First Last

Student ID# (Seven Digits) *

Email *

Phone *

### - ### - ####

Address *

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

Which trip would you like to pre-register for? *

White Water Rafting (July 29-31)

Kayaking (Aug. 15-19)

If your first selected trip is filled, would you like to be added to the other option? *

Yes

No