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In order to accurately judge your skill level and to place you in an ACE Kayak Clinic that will match your skills you may be asked the following questions when making your reservation. Please answer as accurately and honestly as possible. You can print this page with your browser's print button.
Name: Home Phone: ( ) - E-Mail Address:




1. What is your: Age, Height and Weight?

2. Have you ever been in a kayak before?

3. Can you swim?

4. How would you rate your swimming ability? Poor - Fair - Good - Excellent
Please check the following skills that you can demonstrate successfully:
( ) Wet Exit
( ) Eskimo Rescue
( ) Paddle in a straight line
( ) Paddle forward
( ) Paddle backward
( ) Paddle in moving water
( ) I have paddled Class I-II whitewater
( ) Comfortably paddle Class II whitewater
( ) Catch an eddy
( ) Peel out of an eddy
( ) Roll in flat water
( ) Roll in moving water
( ) Surf waves
( ) Surf hydraulics
( ) Pop-ups and enders
( ) Roll on offside
( ) Hand rolls
Please check the following equipment you have:
( ) Kayak---What Kind?
( ) Paddle
( ) Spray skirt
( ) PFD
( ) Helmet

Please list any previous experience: (use the back if necessary)








What are your expectations of the clinic?








Do you have any medical problems or allergies?








Please list any recent surgeries:







New river, Gauley River, Gauley Season outfitter's address

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