2021 Rogue Raid Entry Nomination

Team Name *

Course *

Team Size *

Category *

Class *

Colts: all members 25 and younger. Veteran: all members 40 and over.

Preferred Kayak Option *

The team's home Town, State and Country *

Team Captain Name *

Team Captain Email *

Team mate name (2)

Team mate email (2)

Team mate name (3)

Team mate email (3)

Team mate name (4)

Team mate email (4)

Do you qualify for an automotic place as a past Raid/QRA volunteer, international team, interstate A1 team, etc?

Refer to https://raidadventures.com/rogue24-entry-procedures/ for automatic qualification requirements.

Any additional questions or comments?

I acknowledge I have read and understood the Refunds, Changes and Cancellation Policy and Terms and Conditions as per the Resources page on the Raid Adventures website.

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