Pre-Registration | Boca Boating & Beach Bash

Pre-Registration for the 2019 Boating & Beach Bach for People with Disabilities

Sunday, March 10th, 2019 10:00 AM – 3:00 PM

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

First Name *

Last Name *

Address 1 *

City

Zip / Post Code *

Phone

Email *

Number of people including yourself in your party *

Are you affiliated with any disability organizations, groups or group homes? *

Please list them

Would you like to hear from us throughout the year? *

Have you attended the Bash in the past? *