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Sign Up For Membership

All fields are required, except the ACA number if you don't have it
First Name
Please enter your first name

Last Name
Please enter your last name

Date of Birth
Please enter your birthdate.

City
Please enter your city.

State
Please enter the state.

Zip Code
Please enter your zip code.

Email address
Please enter your email address

Cell Phone
Please enter your phone number

Secondary Phone
Please enter an secondary telephone number.

Emergency Contact
(full name & phone)
Please enter the full name and phone number of who could contact in case of an emergency.

ACA # (if known)
Please enter your ACA membership number.

Type of Membership
(paid at the pool)

Please select the type of membership.

  • Individual = $45/year
  • Family = $60/year for two adults, two minors same household; additional family members for minors are $5 and adults are $10.
  • Pool Sessions = $5 minor, $10 adult

Opt in
Please choose yes or no

Check yes if your name, phone, and email can be included on the club roster. The club roster will be made available to PPWC members only so people can make river plans with each other.

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pikes peak whitewater club logo. click here to go to home page.