Please fill out our easy online registration form or print and mail in the PDF form (60k). We will contact you shortly to confirm the details of your registration.

CONTACT INFORMATION
Name:
Address:
City:
Province

or State:


Postal/Zip Code:
Email:
Home Telephone:
 Work Telephone:
Where did you hear about us?
COURSE INFORMATION
Which course/trip are you registering for?
What dates do you prefer?
If this course is full, do you have a 2nd Choice?
What dates do you prefer?
Can you swim 100 metres in a life jacket? Yes without?
Describe your
paddling experience:
Do you prefer to use a Kayak or Canoe
Certification Desired? Yes (Type Level )
Note: ORCA certification is subject to successful demonstration of skill standards.
Please add $15 processing fee for courses in which you want certification.
HEALTH INFORMATION
Age: Height: ft inches
Weight: lbs  Shoe Size
Health History:
Describe all relevant medical conditions in detail, i.e., allergies, recent injuries,
illnesses, operations, general health level, disabilities, phobias, etc.
Health Number:
Doctor's Name:
Telephone:
In case of an emergency, phone (name)
Telephone:
Note: You will be required to read and sign a Waiver of Liability. Participants must be at least fourteen years of age or have written permission by their guardian. Need to cancel? A refund (excepting a $50 service charge) will be provided until 7 days prior to course date after which a refund is available only if we can fill your vacancy. A non refundable payment in full is required for the Ottawa river trips, 30 days in advance. Upon receipt of the Registration Form, you will be provided with information describing whrere/when we meet etc. API reserves the right to cancel any course with a full refund to registrants' i.e. less than three registrants.
 
phone: 519.763.9496 Guelph, Ontario, Canada  fax: 519.822.2804