Online Registration

Please Provide the Following Information

First Name
Last Name

Street Address

Address (cont.)

City
   Province/State

Zip/Postal Code
   Country

Home Phone

Work Phone

E-mail

Trip Destination
Course Title

Trip Date
Course Date

Indicate your canoeing/sea kayaking experience:

Never Novice Intermediate Pro

Indicate your camping experience:

Never
Campground Camping
Wilderness < 10 Nights Wilderness > 10 Nights

List any food, medical, plant, or insect allergies that you have:

Do you have any physical limitations that may hinder your ability to paddle a canoe or carry loaded packs across portage trails?

Indicate all the beverages you enjoy drinking:

Coffee

Hot Chocolate

                Tea

Please Provide the Following Information

First Name				Last Name

Street Address
Address (cont.)
City				Province/State
Zip/Postal Code				Country
Home Phone
Work Phone
E-mail


Trip Destination				Course Title
Trip Date				Course Date


Indicate your canoeing/sea kayaking experience:
Never		Novice	Intermediate	Pro


Indicate your camping experience:
Never		Campground Camping		Wilderness < 10 Nights	Wilderness > 10 Nights


List any food, medical, plant, or insect allergies that you have:



Do you have any physical limitations that may hinder your ability to paddle a canoe or carry loaded packs across portage trails?



Indicate all the beverages you enjoy drinking:
Coffee	Hot Chocolate		Tea