DIRECT ONLINE SEA KAYAK REGISTRATION FORM

Please Read Carefully and Supply All Information Requested

This page has been designed for those wishing to use their American Express Credit Card for purposes of paying program deposits and making payments for the 2008 Summer Sea Kayak Adventure at Camp Blue Heron Riceboro, Georgia.

Note: Before completing your online application, please print the following forms listed below. Participants will need to  complete forms and forward to our Council Office at the address below as soon as possible:

Sea Kayak Program - Coastal Empire Council, Inc. - 11900 -Abercorn Street - Savannah, Georgia 31420

Council Hold Harmless Form

Creighton Island Release Form

BSA Class 3 Medical Form

BSA National Tour Permit (pdf) (Print on [8.5 x 14] paper)

BSA Local Tour Permit (pdf) (Print on [8.5 x 14] paper)

Your Name:

Address 1:

Address 2:

City: ,  State:    Zip:

Home Phone:      Other Phone:

Email Address:

Register Unit Members As Participants (Max. 14 seats)

Make An Additional Payment

Unit # Council Name:

HQ City:      State:     

You can pay your deposit now and make a balance payment on or before May 26, 2008.

Please select the number and amount for deposits being paid, or select (Make Payment) to pay on your unit's account.

Attending:

If making an additional payment, please indicate the amount of payment.

Payment Method: Credit Card

Credit Card Type:     

Card Numbers:           

Expiration Month:   Expiration Year:

Name as it Appears on Card:

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