2025 Course Registration Form
Canoe Courses + Swift Water Rescue
Personal Information
Please fill as completely as possible
Full Name
*
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Age
Weight (lbs)
*
Height (feet)
*
Swimming Ability
*
Please Select
Afraid of Water
Can not swim
Can swim
Good Swimmer
Excellent Swimmer
Wetsuit/Drysuit -
*
Will use a wetsuit
I will rent a drysuit (please pay for rental below at time of registration.
I have my own
Newsletter
Yes, add my email to the Yukan Canoe Newsletter.
Are you Registering Additional People on this Form
Yes
No
Additional People you are registering with this form
Medical and Emergency Contact Info for all Registrations
Medications
*
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No Medications
Yes please provide information below
Medical Conditions
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No medical conditions
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Emergency Contact person
*
First Name
Last Name
Medical Information for all Registrants including Allergies
Phone Number
*
-
Area Code
Phone Number
Relationship
Please Select
Parent
Sibling
Friend
spouse
Course Selection
Please start by selecting the type of courses(s) you're registering for. Next, pick your course dates below. You will then need to select and pay for course in the Course Payment Section
Course Name
Intro to Moving Water
Whitewater Fundamentals Level 2
Lapie River Extravaganza
Swift Water Rescue
Intro to Solo Playboat
Intermediate Solo Playboat
Advanced/Intermediate Solo Playboat - Lapie River
Solo - Tripping Canoes
French Speaking Courses
Intro to Moving Water Level 1 Thursday Evening all day Sat/Sunday
May 8,10,11
May 22,24,25
June 5,7,8
June 19,21,22
Custom dates
Intro to Moving Water Level 1 Friday Evening all day Sat/Sunday
May 16,17,18
May 30,31 June 1
June 13,14,15
custom dates available
We have course start days on either Thursday or Friday evening. We require a minimum of 4 people per course. Are you flexible for either Thurs or Fri evening?
Yes
No
Intro to Moving Water Level 1 French Speaking Women Only ($299)
May 26,27,28 (Friday evening)
Whitewater Fundamentals Level 2 Thursday Evening, all day Sat/Sunday
May 29,31, June 1
June 12,14,15
June 26,28,29
custom dates available
Whitewater Fundamentals Level 2 Friday Evening, all day Sat/Sunday
June 6,7,8
June 20,21,22
custom dates available
Whitewater Skill Building Series- Solo
May 8
May 15
May 22
May 29
All
Whitewater Skill Building Series-Tandem
May 6
May 13
May 20
May 27
All
Lapie River Extravaganza Tandem - 4 day whitewater course
June 28-July 1
July 3-6
July 10,11,12,13
custom dates available
Swift Water Rescue - 2 Evenings 2 Full Days or 3 full days
Canoe - May 17-19
Canoe-June 5+6 evening, 7+8all day)
Industry-May 21-23
Industry-June 10-12
Swift Water Awareness - 2 day of Fundamentals
May 24+25
May 27+28
June 10+11
June 14+15
Advanced Swift Water Rescue - 4 Full days- Lapie River
July 10-13
Advanced/Intermediate Solo Playboat- Lapie River
July 3,4,5,6
July 10,11,12,13
custom dates
Intro to Solo Playboat 2 evenings 1 full day - 2025 dates coming soon
custom dates
Intermediate Solo Playboat. 2025 Dates coming soon
custom dates
Solo-Tripping Canoes. 2025 Dates coming soon
custom dates available
Packraft 101- Intro to Packrafting
see packraft registration form
Packraft 102- Whitewater Skills
see packraft registration form
Extra Information for Custom Courses or other details we should be aware of before the course.
Extra Student Details- Include information like: friends that are signing up for same course, mobility challenges, Custom course info, etc. Agency paying for course.
Where did you hear about Yukan Canoe- please check all that apply
Google Search
CKRW
Posters
Friends
word of mouth
Kanoe People
Up North
North of Ordinary
What's Up Yukon
Email campaign
Media screens
Online advertising
YCKC
Other
If the course you have chosen does not have the required minimum of 4 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.
Yes
No
Online Payment Section- Pay for your courses here. All students will be required to sign a waiver. Please read our cancellation policy before registering. If an agency is paying for the course you must leave all below section blank.
Pay for all participants registered on this form.
Additional Information
My Products
Categories:
All
All
Deposit for Courses (required for each person)
Tandem Canoe
Solo Canoe
Swift Water Rescue
Drysuit + Booties
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Deposit for Courses (required for each person)
Deposit for Course (other than Lapie) Pick either deposit or full course payment. NOT BOTH.
$
150.00
CAD
Deposit function only available till April 15
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Deposit for Lapie River Extravaganza
$
300.00
CAD
Pick only deposit or pay for entire course. NOT BOTH. Deposit function available until April 15.
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Tandem Canoe
Intro to Moving Water
$
349.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Whitewater Fundamentals Level 2
$
449.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Lapie River Extravaganza
$
699.00
CAD
Quantity
1
2
3
4
5
6
7
8
Item subtotal:
$
0.00
CAD
Solo Canoe
Intro to Whitewater Solo Playboating
$
299.00
CAD
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Intermediate Whitewater Solo Playboating
$
399.00
CAD
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Intermediate/Advanced Solo Playboat
$
699.00
CAD
4 day whitewater course
Quantity
1
2
3
Intro to Solo Tripping
$
399.00
CAD
Solo Tripping Canoe Course taught is regular size canoes
Quantity
1
2
3
4
Item subtotal:
$
0.00
CAD
Swift Water Rescue
Swift Water Rescue
$
449.00
CAD
ACA certificate of Participation
Quantity
1
2
3
4
5
6
7
8
Item subtotal:
$
0.00
CAD
Advanced Swift Water Rescue
$
699.00
CAD
4 days Lapie River
Quantity
1
2
3
4
5
6
7
8
9
10
Swift Water Awareness
$
325.00
CAD
2 Day fundamentals
Quantity
1
2
3
4
5
6
7
8
9
10
Drysuit + Booties
Drysuit rental
$
50.00
CAD
We will pick size based on height/weight on form.
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Bootie Rental
$
20.00
CAD
Old running shoes work well. Please indicate size for each rental. We only have unisex and full sizes
Quantity
1
2
3
4
Size
0
4
6
7
8
9
10
11
12
13
14
Item subtotal:
$
0.00
CAD
Neoprene Sock purchase
$
35.00
CAD
size
xs
s
m
l
xl
xxl
Quantity
1
2
3
4
5
6
7
8
9
10
Enter coupon
Apply
Subtotal
$
0.00
CAD
Tax
$
0.00
CAD
Total
$
0.00
CAD
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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