I'm Interested in:
Specifically:
Name (first last):
Email:
Mailing Address, city, state, postal
code, country:
Home Phone:
Work Phone:
Mobile Phone:
Age:
Sex:
Height:
Weight:
Inseam:
Shoe Size (mens equivalent):
Skill level:
Regular Physical Activities:
(walking, running, paddling, weights, tennis,
etc)
Swimming Ability:
(Can you swim 2 laps of a pool without becoming
winded?)
What do you hope to achieve from the
kayak school program?:
List small boat experience, if any:
Any health conditions that might keep
you from enjoying kayaking?:
Anything other pertinent information
we should know?:
Comments? How did you discover the Alaska
Kayak School?:
