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Completely filling out our Class Registration Form is important for SSKS determining the properly fitting kayak, life jacket, and other equipment to make your experience the best possible.  Having your medical information is vital for your safety as well as that of your fellow students and the instructor(s), as it allows us to anticipate potential areas of concern while we’re on, or in, the water.  Please be assured that SSKS will treat your personal information with the utmost confidentiality, just as we would expect of our own!  In the unlikely event of an emergency, this information would be important to first responders, as well.

After submitting your registration form, you will be directed to our “Choose a Class” page to add your class to your shopping cart.  You will receive an email confirmation of your registration after you check out.

* REQUIRED FIELDS

    Desired date and time★

    Class Requested★

    First Name ★

    Last Name ★

    Physical Address ★

    City ★

    State/Province ★

    Zip/Postal Code ★

    Country ★

    Is your physical address the same as your mailing address? If no, please complete mailing address below ★

    yesno

    Mailing Address

    City

    State/Province

    Zip/Postal Code

    Country

    Email Address ★

    Confirm Email Address ★

    [checkmail confirm-email "email"]

    Phone Number ★

    Date of Birth ★

    Gender ★

    malefemale

    Height ★

    Weight ★

    Shoe Size ★

    Are you registering for this class with a group of friends or family? If yes, please list their names below. ★

    yesno

    Group Names

    Will you be bringing your own kayak to class? If yes, please list make and model of your boat below. Please note: Your boat must have the Whatcom County invasive species boat inspection sticker before launching on Lake Whatcom. For more information see http://whatcomboatinspections.com★

    yesno

    Kayak Model

    Will you be bringing any of your own gear (wetsuit, life jacket, etc) to class? If yes, please list below. ★

    yesno

    Personal Gear

    Do you have any medical conditions of which we should be aware? If yes, please list below. ★

    yesno

    Medical Conditions

    Do you have any allergies relevant to our classes (e.g. bee sting allergies, etc.)? If yes, please list below. ★

    yesno

    Allergies

    Are you on any medications that could affect your balance or ability to paddle? If yes, please list below. ★

    yesno

    Medications

    Do you have any prior injuries (those which affect mobility, flexibility, endurance, etc.)? If yes, please describe below. ★

    yesno

    Prior Injuries

    Do you require any special medical equipment or devices (EpiPen, asthma inhaler, etc)? If yes, please list below. ★

    yesno

    Equipment

    Do you have joint replacements? If yes, please describe below. ★

    yesno

    Joint Replacements

    Physician's Name ★

    Physician's Phone ★

    Emergency Contact Name (someone not participating with you in the SSKS class/event) ★

    Emergency Contact Relationship ★

    Emergency Contact Phone ★

    Emergency Contact Cell

    Sea Kayaking can be strenuous and involve immersion and swimming in cold water. Key areas of concern include but are not limited to: Ability to Swim, Hearing, Uncorrected Vision, Circulation, Ability to Reason and Make Decisions, Restrictions on Mobility or Motor Control, Deficiencies in Sensation or Stamina, Difficulty in Speaking, Balance Issues, Ability to Float, and/or Manual Dexterity. If you have problems in any of these areas, please let us know; and we'll do our best to accommodate you. However, we may not be able to successfully address all possible scenarios, and for your safety, may have to preclude you from our instruction. If you have concerns, please contact us. Are you confident in your physical ability to perform the skills being taught? ★

    yesno

    Class fees include a non refundable $50 deposit. In the event of cancellation more than 48 hours prior to the start time for the first class session, the full amount of the participant’s class fee, minus the $50 deposit, will be refunded. No refunds will be given for cancellations made within 48 hours of the start time for the first class session. Failure to attend the first or only session of a class, without notice, will be considered a cancellation without notice and no refund will be given. SSKS may elect to credit fees paid, toward future classes/events when these fees paid are less than $50. If a class is rescheduled, SSKS will apply the same timeline as for a cancellation, with the adjusted amount (if any) applied to the rescheduled date(s). In the unlikely event SSKS must cancel, a full refund will be given to the registered student(s) affected by that cancellation.

    Do you agree to our cancellation policy? ★

    I agree

    In order to have the equipment you need for your Custom Lesson (any class not on our class calendar) ready for you, we need to have all registrations completed at least 48 hours before the session.

    Do you agree to our custom lesson scheduling policy? ★

    I agree

    Do you have any specific concerns going into this class, or do you have specific skills and topics you would like to focus upon during your time with us?

    How did you learn about us?

    Do you wish to receive emails from us that contain information about our programs? We will not distribute your email address to any other business or individual without your consent.★

    yes, pleaseno, thanks

    Please enter the security code ★
    captcha

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