Alkame Coaching Services
One Day Training Experience
* Choose your Event:
Open Session - 11/06/2011
Personal Information:
First Name:
Last Name:
Gender:
Male
"
Female
"
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
"
Strong
"
Project Specific Information:
Team Name:
Preferred Paddling Side:
Left
Right
Either
Years of Experience:
Any comments or questions?: