LICCB Trip Request Form

email address

confirm email address

first name

last name

phone number (optional)

select an event below

how many spots would you like to request

tell us a little about yourself and your kayaking experience

(optional) I have volunteered with the Long Island City Community Boathouse

(optional) I have specific needs that may require time to prepare accommodations for

I certify that ALL members of my party are over the age of 18

I certify that ALL members of my party know how to swim

I would like to subscribe to the LICCB newsletter and receive occasional email updates.
(information is not shared with third parties)