River Canoe Club - Beginners Program - Summer 2019
To sign up for the trip:

A) Please complete this form for each person planning to attend.

B) Please make sure you are a current member of River Canoe Club, this is a MEMBERS ONLY event.

C) Completing this form does not guarantee a spot on the beginners program as places are limited.

D) Note the program is a three day beginners program with Day 1&2 on 19&20th January and Day 3 on either 2nd or 3rd February 2019

Data collected in this form will be used by River Canoe Club to prepare a Float Plan under River Canoe Club's safety framework.

First Name *
Your answer
Surname *
Your answer
Age *
Contact Phone Number *
Your answer
Contact Email *
Your answer
Vehicle Registration Number *
Your answer
Emergency Contact Name (not someone on the trip) *
Your answer
Emergency Contact Phone Number *
Your answer
RCC/Paddle NSW Member Status *
Do you have any medical conditions the trip leader should be aware of? *
Your answer
Will you be bringing your own boat and equipment? *
What is your experience/confidence level of paddling a kayak on flat water? *
Day 1 - Saturday 19th January - Preference for Morning or Afternoon *
Required
Day 2 - Sunday 20th January - Preference for Morning or Afternoon *
Required
Day 3 - Saturday 2nd Feb or Sunday 3rd Feb - Preference *
Required
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