Current Adventurers - River, Sea, Lake Kayaking, Kids Paddling, Whitewater & Calmwater Trips

Sea Kayaking, River Kayaking, Lake Paddling, Kids Kayaking, Surf Kayaking, Whitewater & Calmwater Trips


First Name		Class
Last Name		Class Date
Email Address
Address		Referred By
City
State		Note: A request form must be submitted for each person in your group. How many forms do you need?
Country
Zip		Names of Others in Your Group
Day Phone
Evening Phone


Parent/Guardian: Required if requestor is under 18 years of age
Name		Phone


Personal Information: Required for proper boat fit and class assignment
Height:	Feet Inches
Age
Sex	Female Male
Weight
Kayaking Experience: Beginner Novice Intermediate Advanced
Shoe Size
Medical problems we should be aware of:

Special Dietary Needs:

Special Requests:

Past Related Experience:

Preferred Method of Payment