Pre-Clinic Participant Information

PARTICIPANT INFORMATION

Please fill out the following form as detailed as possible. Information provided will be treated with the strictest confidentiality. Any vague or incorrect information could result in injury or death of yourself or other participants.
Please select your upcoming course(s) or courses for which you are interested from the list below. Note: participants in our Youth Programs (Green River School, Spring/Fall Camp, & Travel Camp) have their own information form, available here.
Example: he, she, they

EMERGENCY CONTACT INFORMATION

In the event of an emergency, please provide contact information for an emergency contact.
Example: spouse, partner, parent, friend, etc.

VITAL INFORMATION

Please answer the following questions to the best of your ability. This information helps your instructor(s) prepare for your participation in our course(s) and provide the best possible experience.
This does not affect your eligibility for participation.

PRE-CLINIC STUDENT EXPERIENCE ASSESSMENT

This is an elective section for additional information to help develop your instructional experience with H2o Dreams and guide your placement in our programs. If you have had previous experiences on whitewater, we recommend taking time to answer the questions below thoughtfully. If you are new to paddling or otherwise feel that you cannot answer the questions below, feel free to leave blank.
Some of our courses require additional rescue and training skills as you are expected to be an active part of the group safety.
Some of our courses require additional rescue and training skills as you are expected to be an active part of the group safety.
Please be thorough! Use this space to detail what gear you will bring with you for class as well as any equipment needs you may have from H2o Dreams.
Self-rescue is defined as a safe, controlled wet-exit and recovery of equipment to shore.
Your kayak is flipped dynamically and unexpectedly and the environment is cold, dark, shallow, or turbulent.

Rate yourself 1-5 on the skills below. 1 being the least developed and 5 being the pinnacle.

For security verification, please enter any random two digit number. For example: 14