2020 June+July Canoe Course Registration Form
Personal Information
Please fill as completely as possible
Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Full Name 2nd person
First Name
Last Name
E-mail 2nd person
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Cell Number
*
-
Area Code
Phone Number
Weight -lbs
*
Height -ft,inches
*
Weight 2nd person-lbs
Height 2nd person-ft,inches
Drysuit are Mandatory for all River sessions for safety requirements. If you are renting a drysuit please pay for it with your registration. We will size your suit based on height/weight.
I will rent a drysuit
I have my own
Drysuit 2nd person
I will rent a drysuit
I have my own
Swimming Ability
*
Please Select
Afraid of Water
Can not swim
Can swim
Good Swimmer
Excellent Swimmer
Swimming Ability 2nd Pers
Please Select
Afraid of Water
Can not swim
Can swim
Good Swimmer
Excellent Swimmer
Medical and Emergency Contact Info for all Registrations
Medical Conditions
*
Please Select
No medical conditions
Yes please provide details
Medical & Special Information including Allergies
Medications
*
Please Select
No Medications
Yes please provide information below
Emergency Contact person
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
cell number
-
Area Code
Phone Number
Relationship
Please Select
Parent
Sibling
Friend
spouse
Custom course/kayak/sup or canoe
If the course you have chosen does not have the required minimum of 4 students are you willing to pay 30% more so the course can run? We are offering this option to be able to have more courses run. Asking on this form will save us from asking later in the case of low registrations.
YES
NO
COURSE SELECTION AND PAYMENT
Please pick your course below Some times Courses fill up before I can make changes on our form. We than create a wait list. If we have enough students we will add another instrutor/course to those dates. If you are registering for a 2nd or more people please pay on only 1 form. In additional comments please indicate you are together. 5% gst will be added to total. Updated 2020 cancellation policy - We will offer a credit for people who are sick. Otherwise our normal cancellation policy will be in effect. Please understand there are lots of logistics preparing for a course. Our class sizes this season will be smaller. Please do not come to the course if you are sick- please reschedule All participants will be required to sign a waiver and abide by Covid precautions & procedures ** We sometimes need to make quick changes on course dates - the below dates are the latest most up to date. They may differ slightly from dates on posters. If this creates a challenge for you please email us.
COURSE ONLINE PAYMENT SECTION- There is room in a course unless it shows "FULL, wait list" besides the dates. (4 students minimum needed to run a course) Courses may be Wait listed for various reasons- 1 being we need to confirm enough instructors and equipment. Please email us if you are interested in the wait listed course. Registration will hold a seat for you if one becomes available. If we can not accommodate you, your registration fees will be refunded in full.
prev
next
( X )
Intro to Moving Water Tandem
$
225.00
CAD
Date of course
June 19,20,21 ( full wait list)
June 25,27,28 (sold out)
July 10,11,12 (full wait list)
July 17,18,19 ( 3 spaces left)
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Whitewater Fundamentals Level 2- Tandem
$
299.00
CAD
Date of course
June 19,20,21 (2 available spots)
June 25,27,28 ( limited spaces)
July 3,4,5 (full)
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Lapie River Extravaganza
$
495.00
CAD
Date of course
June 26,27,28,29 ( full wait list)
July 1,2,3,4
July 9,10,11,12 (full wait list)
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Lapie River Extravaganza Kayak -Womens Only
$
495.00
CAD
Women Only Intermediate Kayak Course. Prerequiste- prior kayak course or experience.
Date of course
July 1,2,3,4
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Intro to Moving Water Solo- Regular Size Canoe
$
275.00
CAD
Date of course
May 27,29,31
June 9,10,13 (wait list)
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Intro to Solo Play Boat- solo whitewater canoe
$
299.00
CAD
Date of course
May 20,22,23 (full -wait list)
June 11,12,14
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Intermediate Solo Play Boat
$
299.00
CAD
for those that have solo playboat experience or have taken Intro to Solo Playboating
Date of course
June 17,18,20
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Intro to Whitewater Kayak
$
299.00
CAD
Date of course
June 3,4,6
June 10,11,13
Quantity
1
2
3
4
5
Intro to Lake Paddling
$
99.00
CAD
Date of course
June 2
June 16
July 16
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Drysuit rental
$
35.00
CAD
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Drysuit rental 2
$
35.00
CAD
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Bootie Rental
$
10.00
CAD
Size
4
5
6
7
8
9
10
11
12
13
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Bootie Rental 2
$
10.00
CAD
Size
4
5
6
7
8
9
10
11
12
13
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Neoprene Sock purchase
$
15.00
CAD
size
xs
s
m
l
xl
xxl
Quantity
1
2
3
4
Neoprene Sock purchase 2
$
15.00
CAD
size
xs
s
m
l
xl
xxl
Quantity
1
2
3
4
Enter coupon
Apply
Subtotal
$
0.00
CAD
Tax
$
0.00
CAD
Total
$
0.00
CAD
Payment Method
Credit
Express
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Expiration Year
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lesotho
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Other
Country
Extra Information for Custom Course or Extra Participants
Additional Information
Save
Submit
Print Form
Should be Empty: