2024 Yukan Canoe Paddle Canada Water Front Instructor Registration Form
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Date of Birth
Weight
*
Height
*
Drysuit
I will rent a drysuit
I have my own
Drysuit/Wetsuit Size
xs
s
m
l
xl
xxl
Paddle Canada Membership Number
If you have a prior Paddle Canada Member #. If you do not remember you number if you can provide the email you would have used before with Paddle Canada we can look up.
Swimming Ability
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Medical and Emergency Contact Info for all Registrations
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Medications Please list any and all
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Course Selection Please Pick your courses here.
Professional Development Clinic
Dates to be determined
Water Front Instructor
May 3,4,5 (10 seats)
May 13,14,15 (2 seats)
Please detail your paddling skill experience and any instructing/coaching experience you have.
*
Will you require a receipt and completion letter for Tourism Training Fund, Department of Education or other?
*
Yes
No
Additional Information
Online payment option If you are paying online use below section. If any agency such as Dept. of Eduducation is paying for your course, please enter invoicing instructions in additional information box below and leave this section completely blank. 5% gst will be added to total. Please read our cancellation policy before booking your course. All participants will be required to sign both a Yukan Canoe and Paddle Canada waiver.
If you have any difficulties submitting the form, first check required fields or submit with out payment information.
My Products
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Paddle Canada Waterfront Instructor
$
550.00
CAD
Includes paddling equipment and Paddle Canada Waterfront 1 year Instructor Membership value of $50. GST will be added
Drysuit rental
$
25.00
CAD
We will be in the water 1 afternoon learning and practicing rescues. Cold water immersion gear is highly recommend
size
xsmall
small
med
large
xlarge
xxlarge
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Bootie Rental
$
15.00
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
$
30.00
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 Methods
Debit or Credit Card
First Name
Last Name
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Card Expiration
Please click one of the PayPal options to complete payment and
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the form.
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