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Whitewater School
Pre-Registration Form

School registration is closed

Please fill out the information requested.

The registration/application process consists of a brief interview to assess your experience level and suitability for the school. Please complete the form below to request an application. If you are uncomfortable providing this information via the web, or if you have any questions at all, please feel welcome to contact Karen Klawiter or Dean Tuininga at (603) 623-5350.

A short time after your request is received, we will email you an application and additional information about the school. The registration process also includes a brief phone interview to evaluate your experience level, to discuss gear, and to answer any questions you may have.

Name*

Address*

City*

State*

Zip*

Home tel:*


format: 603-111-1234

Work tel:


format: 603-111-1234

Email:*

*indicates required field .

AMC Member?  
We welcome applicants who are not AMC members.

AMC Member?  yes     no     not sure
AMC member number
Chapter
Expires

MVP Member? yes     no     not sure

Please check off the type of boats you
are interested in paddling in the school

  Solo Canoe
  Tandem Canoe
  Whitewater Kayak

Comments?

Where did you hear of the school?

Revised 03/29/07 06:40:55 AM

 

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