Tuckasegee Gorge

Participant Name *

Participant age if under 18

Boat *

Do you have these REQUIRED items in the appropriate size? * Helmet
Paddle
PFD (lifejacket)
Float Bags for the boat
Close-toed shoes
Sprayskirt
Throw rope
Drysuit / Drytop

How long have you been paddling whitewater? * Less than 6 months
6 months to less than a year
1-2 years
3-5 years
More than 5 years

How many times have you paddled in the last 12 months? * None
1-2 times
3-5 times
5-9 times
10 or more times

How many times have you paddled in the last 6 months? * None
1-2 times
3-5 times
5-9 times
10 or more times

What are the toughest rivers you feel comfortable paddling and at what level (list up to 3)? *

On a scale of 0=nonexistent to 10=solid, rate your POOL roll: *

On a scale of 0=nonexistent to 10=solid, rate your WHITEWATER roll: *

On a scale of 0=eddy talker to 10=wave hog, how much do you play on the river?: *

On a scale of 0=lamb to 10=tiger, how aggressive are you? *

List any instruction you have taken before with dates and types:

List any medical conditions you have that you want known:

List any special requests or things the coordinator should know about you: