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Registration Form
CLASS
Intro to Kayaking
DATE
09.22.12
NAME OF PARTICIPANT
ADDRESS
CITY
STATE
PHONE NUMBER
E-MAIL ADDRESS
MALE
FEMALE
AGE
HEIGHT
WEIGHT
Emergency Contact
NAME
ADDRESS
CITY
PHONE
BACKGROUND INFORMATION
Any medical conditions of which we should be aware?
Will you be using your own equipment (ie: Boat, PFD, Paddle)?
YES
NO
Can you swim? How confident are you with your ability?
YES
NO
Do you have previous paddling experience? Describe.
YES
NO
What is your goal for the class/trip?
CLASS
Intro to Kayaking
DATE
08.11.12
NAME OF PARTICIPANT
ADDRESS
CITY
STATE
PHONE NUMBER
E-MAIL ADDRESS
MALE
FEMALE
AGE
HEIGHT
WEIGHT
Emergency Contact
NAME
ADDRESS
CITY
PHONE
BACKGROUND INFORMATION
Any medical conditions of which we should be aware?
Will you be using your own equipment (ie: Boat, PFD, Paddle)?
YES
NO
Can you swim? How confident are you with your ability?
YES
NO
Do you have previous paddling experience? Describe.
YES
NO
What is your goal for the class/trip?
CLASS
Intro to Kayaking
DATE
07.21.12
NAME OF PARTICIPANT
ADDRESS
CITY
STATE
PHONE NUMBER
E-MAIL ADDRESS
MALE
FEMALE
AGE
HEIGHT
WEIGHT
Emergency Contact
NAME
ADDRESS
CITY
PHONE
BACKGROUND INFORMATION
Any medical conditions of which we should be aware?
Will you be using your own equipment (ie: Boat, PFD, Paddle)?
YES
NO
Can you swim? How confident are you with your ability?
YES
NO
Do you have previous paddling experience? Describe.
YES
NO
What is your goal for the class/trip?
CLASS
Intro to Kayaking
DATE
06.09.12
NAME OF PARTICIPANT
ADDRESS
CITY
STATE
PHONE NUMBER
E-MAIL ADDRESS
MALE
FEMALE
AGE
HEIGHT
WEIGHT
Emergency Contact
NAME
ADDRESS
CITY
PHONE
BACKGROUND INFORMATION
Any medical conditions of which we should be aware?
Will you be using your own equipment (ie: Boat, PFD, Paddle)?
YES
NO
Can you swim? How confident are you with your ability?
YES
NO
Do you have previous paddling experience? Describe.
YES
NO
What is your goal for the class/trip?
CLASS
Quickstart
DATE
09.18.12
NAME OF PARTICIPANT
ADDRESS
CITY
STATE
PHONE NUMBER
E-MAIL ADDRESS
MALE
FEMALE
AGE
HEIGHT
WEIGHT
Emergency Contact
NAME
ADDRESS
CITY
PHONE
BACKGROUND INFORMATION
Any medical conditions of which we should be aware?
Will you be using your own equipment (ie: Boat, PFD, Paddle)?
YES
NO
Can you swim? How confident are you with your ability?
YES
NO
Do you have previous paddling experience? Describe.
YES
NO
What is your goal for the class/trip?
CLASS
Quickstart
DATE
08.07.12
NAME OF PARTICIPANT
ADDRESS
CITY
STATE
PHONE NUMBER
E-MAIL ADDRESS
MALE
FEMALE
AGE
HEIGHT
WEIGHT
Emergency Contact
NAME
ADDRESS
CITY
PHONE
BACKGROUND INFORMATION
Any medical conditions of which we should be aware?
Will you be using your own equipment (ie: Boat, PFD, Paddle)?
YES
NO
Can you swim? How confident are you with your ability?
YES
NO
Do you have previous paddling experience? Describe.
YES
NO
What is your goal for the class/trip?
CLASS
Quickstart
DATE
07.02.12
NAME OF PARTICIPANT
ADDRESS
CITY
STATE
PHONE NUMBER
E-MAIL ADDRESS
MALE
FEMALE
AGE
HEIGHT
WEIGHT
Emergency Contact
NAME
ADDRESS
CITY
PHONE
BACKGROUND INFORMATION
Any medical conditions of which we should be aware?
Will you be using your own equipment (ie: Boat, PFD, Paddle)?
YES
NO
Can you swim? How confident are you with your ability?
YES
NO
Do you have previous paddling experience? Describe.
YES
NO
What is your goal for the class/trip?
CLASS
Quickstart
DATE
06.05.12
NAME OF PARTICIPANT
ADDRESS
CITY
STATE
PHONE NUMBER
E-MAIL ADDRESS
MALE
FEMALE
AGE
HEIGHT
WEIGHT
Emergency Contact
NAME
ADDRESS
CITY
PHONE
BACKGROUND INFORMATION
Any medical conditions of which we should be aware?
Will you be using your own equipment (ie: Boat, PFD, Paddle)?
YES
NO
Can you swim? How confident are you with your ability?
YES
NO
Do you have previous paddling experience? Describe.
YES
NO
What is your goal for the class/trip?
CLASS
Quickstart
DATE
05.15.12
NAME OF PARTICIPANT
ADDRESS
CITY
STATE
PHONE NUMBER
E-MAIL ADDRESS
MALE
FEMALE
AGE
HEIGHT
WEIGHT
Emergency Contact
NAME
ADDRESS
CITY
PHONE
BACKGROUND INFORMATION
Any medical conditions of which we should be aware?
Will you be using your own equipment (ie: Boat, PFD, Paddle)?
YES
NO
Can you swim? How confident are you with your ability?
YES
NO
Do you have previous paddling experience? Describe.
YES
NO
What is your goal for the class/trip?