2019 January Holiday Program Registration - Barwon River, Geelong

Fields marked with a * are required

Please fill in all details below to register for the 2019 January Paddlepower Holiday Program at Geelong Canoe Club


Participant Details:

Parent/Guardian Details

Emergency Contact Details

Photographs of Activity

Terms and Conditions

Payment is via Paypal - either using a Paypal account or by entering your credit card details.  Once you have selected "register and pay now (via paypal)" below, you will be redirected to the Paypal window.