Participant Information

Please fill out the following form as detailed as possible. Information given will be treated with the strictest confidentiality. Any vague or incorrect information could result in the injury or death of yourself or to other participants.

Please select your upcoming course(s) from the list below:

Emergency Contact Information

In case of emergency, please contact

Vital Information

Pre-Clinic Student Assessment

This is an elective section for additional information to help develop your instructional experience with H2o Dreams. We recommend if you have had previous experiences on whitewater then to please answer the questions below to the best of your ability.

If you feel you cannot adequately answer one of the below questions, feel free to leave blank.

Some of our courses require rescue skills as you are an active part of the group safety.

Some of our courses require rescue skills as you are an active part of the group safety.

Please be thorough! use this space to details what gear you will bring with you for a 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.

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