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Whitewater Rafting Payment

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  Parish/Town Please enter valid data.
  
  Group Leader's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Youth Registration90.0
  
  Number of Youth Please enter an integer (number).
  
  Adult Registration90.0
  
  Number of Adults Please enter an integer (number).
  
  Crabapple Whitewater Rafting requires at least one adult chaperone in the rafts.
  
  Total:
  
  Submit
  
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