ER Contact Name:
ER Contact Phone:
ER Contact Relationship:
Medical conditions that we should be aware of:
Is your company possibly interested in sponsoring KG?
Yes No
I would like to be considered for the:
Competitive
Team(Bring it on!!!) Please read Coach's Selection Criteria for Competitive
Team
Rec Team for
now, but would like to go to Competitive or be somewhat in the middle
Strictly Recrational
Paddling (Don't stress me out, I wanna enjoy the ride)
I would like to be considered for the position of (feel free to check more than
one):
paddler only
stroker
caller
steer
coach
fitness team
I would like to help with (feel free to check more than one):
Fundraising
Social Activities
Community Service
Corpporate Sponsorship
How did you hear about the team?
Friend Please specify name of referral
Flyer
Craig's List
Other Please specify