Registration for Aquatics Academy: WSI/LG Leadership First Name * Last Name * Email * Town/Organization * Phone * Address * City * State * Zip * Attendee 1 * Attendee 2 Attendee 3 Attendee 4 Attendee 5 Attendee 6 Attendee 7 Attendee 8 Attendee 9 Attendee 10 *if more than 10 attendees, submit additional forms By selecting "Yes" below, I agree that: (1.) Payment MUST be received by 5/17/24; (2.) Following fee structure: CRPA Member departments - $12/person and Non-Member departments - $15/person; (4.) No refunds for cancellations after 5/17/24. (5.) Cancellations must be received in writing via email to [email protected] or [email protected]. * Yes No Department Member or Non-Member Pricing $12 Member $15 Non-Member Payment Method * Send Invoice Credit Card (CRPA will email an invoice that is payable online) Are you human? Protected Form
