Sea Kayak 2020 Registration

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 Country

Cell Number *

Area Code Phone Number

Weight in lbs *

Height in ft, inches *

Weight 2nd person in lbs

Height 2nd person ft, inches

Drysuit are provided for all course except Fundamentals of Sea Kayak. We will size your suit based on height/weight.

I have my own

Drysuit 2nd person

I have my own

I will bring my own boat, pfd, paddle and other paddle gear.

Yes No

Swimming Ability *

Swimming Ability 2nd Pers

Medical Conditions *

Medical & Special Information including Allergies

Medications *

Emergency Contact person *

First Name Last Name

Phone Number *

Area Code Phone Number

cell number

Area Code Phone Number

Relationship

Custom course/kayak/sup or canoe

If the course you have chosen does not have the required minimum of 3 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 ONLINE PAYMENT SECTION- There is room in a course unless it shows "FULL, wait list" besides the dates. (3 students minimum needed to run a course) Max 6 students per evening. If you have your own gear (boat, paddle, pfd) we will refund you $20.

Fundamentals of Sea Kayaking $ 75.00 CAD

Intro course to get you started in a Sea or Recreational Kayak. Drysuits not required

Date of course Quantity

Fundamentals of Kayak Rescue $ 99.00 CAD

Learn and Practice Self Recovery methods when/if you capsize. Drysuits provided

Date of course Quantity

Intermediate Strokes & Manuevering $ 99.00 CAD

Learn new strokes and bracing. Dial in your recovery skills. Drysuits provided

Date of course Quantity

Fundamentals of Moving Water Sea Kayaking $ 99.00 CAD

Learn to safely use your sea kayak on Rivers, Drysuits provided

Date of course Quantity

Private Instruction with gear provided $ 60.00 CAD

$60 /hour 2 hr minimum we provide all gear including boat and drysuit

Quantity

Private Instruction with your gear $ 40.00 CAD

$40 /hour 2 hr minimum we provide Paddle Canada Instructor. You bring your own gear. If you dont have a drysuit they are $25 session

Quantity

Bootie Rental $ 10.00 CAD

Size Quantity

Bootie Rental 2 $ 10.00 CAD

Size Quantity

Drysuit rental $ 25.00 CAD

Drysuit rental for Private Instruction or If you would like one for Fundamentals of Kayak Rescue

Size Quantity

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Subtotal $ 0.00 CAD Tax $ 0.00 CAD Total $ 0.00 CAD

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Additional Information

Sea Kayak 2020 Registration

Personal Information

Medical and Emergency Contact Info for all Registrations

COURSE SELECTION AND PAYMENT

Extra Information for Custom Course or Extra Participants