Ten Mile River Clinic and Slalom
Mailing List
Subscribe to the CLINIC Mailing List:
Please fill out and submit this form to be added to the Atlantic Slalom Committee's Ten Mile River Canoe & Kayak Whitewater Slalom Clinic and Race information mailing list. This mailing list will be used to announce web site updates as well as late breaking information about the Memorial Day weekend event. Fill in as much information as possible and make sure we get it all correct. This form will be automagicly forwarded to the CLINIC Mailing List manager for processing. You will receive a conformation request at your Subscription Email Address to which you must respond to as directed to be placed on this mailing list. Click here to begin!
Click here to process an a request to "unsubscribe" from the CLINIC Mailing List.

Red Type = Required Fields

I'm using this form for a New Mailing List Subscription. .....

I'm using this form to Update my Mailing List Subscription.
Fill in all fields, as blank fields will erase existing data. All fields can be changed except Current
Subscription Email Address which must be entered to identify subscriber.
Click here in order to
replace Current Subscription Email Address with a new one which must be handled separately.

First Name : . Last Name : ...
Address :
City : .. State : ......
Zip: (Format = xxxxx or xxxxx-xxxx)

This is my permanent address. .....................
This is my temporary and/or school address.

Home Telephone Number: (Format = nnn-nnn-nnnn) ..
Work Telephone Number: (Format = nnn-nnn-nnnn) ..
FAX - Telephone Number: (Format = nnn-nnn-nnnn) ..

Subscription Email Address: .....

This form CAN NOT BE PROCESSED unless a valid Subscription Email Address is entered in the space above!

Alternate Email Address:

- I paddle an Open Canoe. .
- I paddle a Closed Canoe...
- I paddle a Kayak. ................

I am a member of the following Paddling Club(s):

ACA Membership Number, if available :
USACK Membership Number, if available : .....

Be sure all entries are complete and correct, then click on 'Submit Form'.

Unsubscribe from the CLINIC Mailing List
It's easy to discontinue membership in the CLINIC Mailing List. You can either send an email from your Subscription Email Address to with "Unsubscribe CLINIC-List" as the subject, without the quotes, at any time or just enter your Subscription Email Address in space below, and click on the 'Unsubscribe CLINIC-List' button.You will receive a conformation request at your primary email address to which you must respond to as directed to be removed from this mailing list.
Current Subscription Email Address:

If this form does not work for any reason, please E-Mail the Webmaster so the problem can be fixed.

You are visitor number to this page!

ACA Atl Div Open Canoe Slalom Committee
A-CLIN-L - Last Updated: