Online Registration Adaptive Kayaking Price: $75.00 Register for Event * Indicates Required Field Select Event Date* September 20, 2024 - 11:00amOctober 18, 2024 - 11:00am Please select a date. First Name* Please enter your first name. Last Name* Please enter your last name. Address Address 2 City State AKALARAZCACOCTDCDEFLGAGUHIIAIDILINITKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWY Zip Code Email* This isn't a valid email address. Please enter your email. Primary Phone* This isn't a valid phone number. Please enter your phone number. You entered an invalid number. Alternate Phone This isn't a valid phone number. You entered an invalid number. Number Of People 1 2 3 4 How'd You Hear About this Seminar? Internet Search From a Friend Healthcare provider From a Caregiver Print or Digital Ad Other Register