Which course are you registering for? Are you a current ACA member? yes no What is your ACA #? (if you are a member) What type of craft do you paddle? canoe kayak inflatable other List any paddlesport training you have had in the last 10 years Descibe your current level of paddling skills, (Class 1- 2-3-4-5), rivers paddled recently,ETC! How would you describe your whitewater swimming skills? weak moderate acceptable strong competitive Please describe your CPR/First Aid training + level of current certifications. CPR Basic FA WFA WFR W-EMT Other Please describe your goals for this course. Payment information (50% deposit required for reservations) please make payable to Sam Fowlkes Please mail check to SFC 347 Paddlers Trail Sylva,NC 28779 Please mail medical info form and ACA waiver to same! Medical information form ACA Waiver and Consent form Please give us a daytime and evening phone #
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