First Name:         Middle Initial:
Last Name:

Sex: Male        Female

Phone No. (including area code) -- Home:     Work:
Home City/Town:

Email Address:

Dragonboat Experience:  Beginner       Intermediate        Experienced

Preferred Paddling Side: Left               Right                  Both

Additional Information:
Please erase these lines and put in your additional information, e.g. dragon-boat experience, preferred practice location, about yourself, etc. Use Delete key for correction if Backspace doesn't work.

Races you'd like to participate in:

Please check the items that you would like to disclose on the posting:
* - Not recommended, although including at least some contact info will increase your chance of being contacted.  (If you check any of these items, GTDBC will not be responsible for any privacy matters.)
Lastname *
Home Phone No.*
Work Phone No.
Email Address *

Click on "Submit Form" below to submit your request and display your submitted info.  After clicking on the "Submit Form" button, if you can see the "Form Confirmation" page, your submission is successful and you don't need to click on "Return to Form" link.  Simply return to our Home Page from the Menu Bar.  You will NOT receive any confirmation email from us.  Please allow a few days for us to update the posted list because it's a manual process for the screening and editing.