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FingerLakes Kayak & Yoga | Summer 2019
Paddling
Hiking
Algonquin Day Hike
Long Distance Trips
- A Grand Adventure, July 31-August 6, 2019
Contact
Resources

Step 1: Please download and sign the Release of Liability and Medical Screening forms. Return to me, either via email (stevensc12@gmail.com) or in person on day one of our trip. These forms are required for ALL participants.

release_waiver_agreement.pdf
File Size:	62 kb
File Type:	pdf

Download File

medical-questionnaire.pdf
File Size:	142 kb
File Type:	pdf

Download File

Step 2: Tell us who you are!

* Indicates required field

Name *

First

Last

Email *

Select your Adventure *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Your Fitness and Medical Info

Your outdoor experience *

Please describe your level of outdoor experience so that we can ensure your trip is appropriate and enjoyable for you!

Health Insurance Provider *

Health Insurance Policy Number *

Do you have any of the following health concerns? *

High blood pressure or heart disease Previous heart surgery Asthma Inhaler Epi-pen or similar Allergies (plants, food, seasonal, medicine, animals / bugs) Muscle or joint pain Previous muscle or joint injury / surgery Diabetes Siezure disorder Any not listed (please describe in detail) N/A

If any of the following apply to you, please give a detailed description in the comments section below

If you answered yes to any of the above, please describe *

My Blood Type Is *

Do you have any special dietary needs? *

Any genre, period, or artist. No profanity please!

Please select the gear you need *

N/A - I have my own appropriate gear I don't have ANY outdoor gear Backpack Sleeping Bag Sleeping Mat Warm Layers (synthetic or down - like a puffy down jacket) Headlamp Waterproof outer layers (Goretex or similar)

How tall are you? *

What is your weight? *

What is your shoe size? *

Please list your three favorite songs (optional) *

Any genre, artist, period. We'll have an eclectic playlist for the trip! Please no profanity or offensive content.

Submit

Step 1: Please download and sign the Release of Liability and Medical Screening forms. Return to me, either via email (stevensc12@gmail.com) or in person on day one of our trip. These forms are required for ALL participants.

Step 2: Tell us who you are!

Your Fitness and Medical Info

Step 3: Payment. This trip costs (***$TBD based on the trip***) per person. All payments are processed securely through PayPal.

Step 3: Payment. This trip costs ($TBD based on the trip) per person. All payments are processed securely through PayPal.