Please fill-in this form to apply for the instructor development workshop.
There is a certain level of skill expected of a candidate to enter the workshop.
First Name:
Last Name:
Company Name:
Email address:
Street address:
City:
State:
Zip Code/Postal Code:
Country:
Phone:
How long have you been paddling?
Less than two years
Two to ten years
Ten to twenty-five years
Twenty-six to fifty years
More than fifty years
How often do you get on the water?
Where have you sea kayaked?:
What kind of kayak do you own or have you paddled?:
What are the roughest conditions you have paddled in or feel comfortable paddling in?:
Describe any kayak teaching you have had?:
Please rate your experience in the following from one to five (5 = highly experienced, 1 = little or no experience):
Stroke technique:
Assisted rescues:
Self Rescues:
Eskimo Roll:
Towing:
Kayak Surfing:
Kayak Navigation:
Expedition Paddling:
Paddling in tidal currents:
Open Ocean:
Any other relevent experience or comments: