2023 Packraft Course Registration Form

Full Name*

First NameLast Name

Phone Number*

Area Code

E-mail*

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Area CodePhone Number

Address

Street Address

Street Address Line 2

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Age

Weight (lbs)*

Height (feet)*

Swimming Ability*

Drysuit*

I will need a drysuitI have my own

Packraft + Equipment*

I will need a packraft + gearI have my own

Newsletter

Yes, add my email to the Yukan Canoe Newsletter.

Are you Registering Additional People on this Form

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Additional People you are registering with this form

Medications*

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Emergency Contact person*

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Medical Information for all Registrants including Allergies

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Course Name

Packraft 101- IntroPackraft 102-Whitewater skillsSwift Water Rescue

Packraft 101- Intro to Packrafting

Packraft 102- Whitewater Skills

Packraft Lapie- Whitewater + Tripping Skills

July 6-9 (4days)wait list

Swift Water Rescue - 2 Evenings 2 Full Days or 3 full days

May 23,24,25(wait list)May 30+31 June 3+4 (wait list)June 15,16,17,18(wait list)custom dates

Extra Student Details- Include information like: friends that are signing up for same course, mobility challenges, Custom course info, etc.

Where did you hear about Yukan Canoe- please check all that apply

If the course you have chosen does not have the required minimum of 3 students are you willing to pay 25% 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.

YesNo

COURSE ONLINE PAYMENT SECTION

Packraft 101$225.00CAD

2 evening Intro to Packrafting. 1 evening on lake 1 on Yukon River. Prerequisite for Packraft 102.

Quantity

Packraft 102$350.00CAD

2 River Days Whitewater Packrafting Skill building. We utilize Takhini, Watson + Wheaton River for this course based on Water Levels

Quantity
Item subtotal:$0.00CAD

Packraft Lapie $675.00CAD

4 River Days Whitewater Packrafting Skill building. on Lapie River including overnight. Does not including camp equipment or food

Quantity
Item subtotal:$0.00CAD

Swift Water Rescue$425.00CAD

ACA certificate of Participation

Quantity
Item subtotal:$0.00CAD

Swift Water Rescue Assesment$50.00CAD

American Canoe Association Membership required to have skills assessment during the course. Must be selected before start of the course.

Quantity
Item subtotal:$0.00CAD

Drysuit rental$45.00CAD

Drysuit rental for Lapie Packraft

sizeQuantity

Packraft Rental $100.00CAD

Packraft for 4 day Lapie Packraft Course

sizeQuantity

Neoprene Sock purchase$30.00CAD

sizeQuantity

Bootie Rental$15.00CAD

Old running shoes work well

SizeQuantity
Item subtotal:$0.00CAD

Enter coupon

Subtotal $0.00CADTax $0.00CADTotal $0.00CAD

Payment Method

Credit Card
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Billing Address
Street Address
Street Address Line 2
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Additional Information

2023 Packraft Course Registration Form

Personal Information

Medical and Emergency Contact Info for all Registrations

Course Selection

Extra Information for Custom Courses or other details we should be aware of before the course.

Online Payment Section- Pay for your courses here. All students will be required to sign a waiver. Please read our cancellation policy before registering.