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Prescott Paddle Club Enrollment Form
Enrollment Date:____________________ Annual renewal month each January Name:__________________________________Signature:_____________________________ Street/P.O. Box No.:____________________________________________________________ City:_____________________________State:___________________Zip:_________________ Phone:______________________________E-mail:____________________________________ Additional Family Members: Adult:________________________________________________________________________ Minors and D.O.B.________________________________________________________________________ _____________________________________________________________________________ Areas of Interest: Canoe___ Kayak___ Raft___ Other Craft___ Quiet Water___ Whitewater___ Ocean___ Trips:Day___Overnight___ Prior Paddling Experience & Training:______________________________________________________________________ _____________________________________________________________________________
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