Alkame Coaching Services
Coed Dragon Boat League
* Choose your Event:
Pickering – Spring 2010 - 05/04/2011
Tuesday Night Crew - 13/07/2010
Pickering - Fall - 15/08/2010
Personal Information:
First Name:
Last Name:
Gender:
Male
"
Female
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Date of Birth:
Address:
Province / State:
City/Town:
Postal/Zip Code:
Phone Number:
E-Mail:
Emergency Information:
Emergency Contact Name:
Emergency Contact Phone #:
Health Issues:
Swimming Ability:
Weak
"
Intermediate
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Strong
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Project Specific Information:
Have you ever paddled before?:
Yes
No
Years of Experience:
Any comments or questions?:
Additional Questions:
Team name: