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Clinic Instructor/Assistant/SB Survey
Submit a survey for each instructor, assistant and safety boater.
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* Indicates required question
Name:
*
Your answer
Phone:
*
Your answer
Email:
*
Your answer
Safety gear that you have in your boat:
Throw Bag
Pin Kit
First Aid Kit
Breakdown Paddle
Other gear (list):
Your answer
Relevant first aid training you have:
Current CPR
Expired CPR
Current First Aid
Expired First Aid
Safety training and dates include SWR and ACA training:
Your answer
List prior TRPC clinics where you have instructed(I), assisted(A) or safety boated(SB):
Your answer
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