Issaquah Paddle Sports | Registration Form

Issaquah Paddle Sports
18801 188th Ave. SE Issaquah, WA 98027
Phone/Fax: 206-527-1825/425-235-2257 E-mail: info@issaquahpaddlesports.com
WWW.ISSAQUAHPADDLESPORTS.COM

REGISTRATION FORM

(Please Print)
Name of Program or Event: _______________________________________
Number of participants:(ie for Custom Trips/Parties only) _________
Date: ______________________________ Time: ________________________
Last Name: _____________________ First Name:_______________________
Address: _______________________________________________ Apt:________
City: _______________________________ State: _________ ZIP: __________
Day Phone: ___________________ Evening Phone:______________________
Email: _________________________________ Fax: _______________________
Age: ______ Sex: _______ Height: ________ Weight: ______ Shoe Size: _____

Do you know how to swim and put your head underwater: ______ Yes ______No
List any known allergies to plants, insects or medications: ___________________
________________________________________________________________
Comment on any special considerations about yourself that you wish to share: (attach another page if space is needed) _________________________________
______________________________________________________________
How did you hear about us: ______ Magazine ______Newspaper ______Internet
______________________Referral (include name) ____________________Other

All Trips/Tours/Events require a 50% Deposit. Registration in the Women's Program, Kid's Kamp and Lessons require payment in full.

Enclosed is a deposit/payment for $___________.

Please complete the registration form and make checks payable to Kayak Academy dba Issaquah Paddle Sports. Mail your registration form and deposit/payment to the above address. Upon receipt you will be sent a confimation and two liability forms (ie one for adults and two for youths) that need to be completed and mailed-in or brought to class. Forms must be completed and given to Issaquah Paddle Sports in order to participate! Cancellations must be made 14 days prior to course date, in order to receive a full refund. If you have any questions, please feel free to contact us.

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