CanoeSki Program Registration Form

Name:

Address:

City:

Prov./State:

Postal/Zip Code:

eMail:

Tel: Home

Work:

Program selected:

Canoeing or Skiing experience:

Swimming Ability (canoeing programs):

Medical conditions or allergies:

Physical limitations (re: paddling/portaging):

Life Vest size (S, M, L, XL)

Height:

Emergency contact person:

Tel: Home

Tel: Work

Deposit enclosed: $

or Full Payment: $

I accept the terms and conditions outlined under Booking Conditions.

Signature:

Date:

Please Note
- Applications are accepted on a first-come, first-served basis.
- Deposit cheque or money order acceptable.
- No postdated cheques, please.
- We are unable to take credit card payment.

Please use the back of this form if there is any additional information tour leaders should be made aware of.
Mail Completed Registration Form to:

CanoeSki Discovery Company
1618-9th Avenue North
Saskatoon, SK Canada S7K 3A1
eMail: info@canoeski.com

* Due to the limitions of the World Wide Web, forms do not always print correctly.
Please adjust your printer set-up dialogue to achieve proper results.