2024 Packraft + Swiftwater Rescue Course Registration Form

Full Name*

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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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Course Name

Packraft 101- IntroPackraft 102-Whitewater skillsPackraft Lapie Whitewater + Expedition SkillsSwift Water Rescue

Packraft 101- Intro to Packrafting

Packraft 102- Whitewater Skills

Packraft Lapie- Whitewater + Expedition Skills

June 28-July 1July 8-11July 12-15Custom dates

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

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 Awareness 2 days$250.00CAD

2 day Awareness 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	Express

Credit Card
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Additional Information

2024 Packraft + Swiftwater Rescue 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.