| STUDENT INFORMATION |
Last Name |
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First Name |
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M.I. |
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Email Address: |
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Date of Birth |
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Gender |
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Height |
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Weight |
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Shoe Size |
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Swimming ability |
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How long have you been kayaking?
(experience not required) |
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Highest class of whitewater you are comfortable paddling? |
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What type of kayaking are you most interested in? (ie: freestyle, slalom, river running, sea kayaking,
lake kayaking, canoeing, etc.) |
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What is your favorite place to kayak? |
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ESSAY QUESTIONS: |
1. What are your goals for next season? (ie: skills or tricks you want to learn, mastering your roll,
becoming more comfortable with a certain class of whitewater, etc. )
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2. What are the three things you like most about kayaking and why?
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PARENT INFORMATION |
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MOTHER |
Last Name |
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First Name |
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Cell # |
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Email |
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FATHER |
Last Name |
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First Name |
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Cell # |
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Email |
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HOME INFORMATION |
Street |
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City |
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State |
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Zip |
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Phone |
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Alternate Phone or Pager# |
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EMERGENCY INFORMATION |
Emergency Contact:(other than parents) |
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Emergency Contact #2: (other than parents) |
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GENERAL INFO |
Are you able to help with carpooling? If so, what days and times work best for you? What days
are you completely unavailable? |
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How many people can you fit in your vehicle? |
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Does your vehicle have racks for kayaks? |
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Is either parent an experienced paddler? If so, explain your experience level. |
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