Stout Adventures Training Registration

 

 Dates: (Check all that apply)

Deep Water Safety

□       Sunday, May 01, 2005 from 5:00-7:00pm

□       Sunday, May 08, 2005 from 3:00-5:00pm

 

Rolling Clinic

□       *Friday, May 06, 2005 from 6:00-8:00pm

*Saturday, May 07, 2005 from 9:00-11:00am

 

*Note:  The Rolling clinic is a 2 part training session.  Please plan on attending both the Friday and Saturday sessions.

 

Open Pool

□       Sunday, May 01, 2005 from 3:00-5:00pm

□       Friday, May 06, 2005 from 6:00-8:00pm

□       Saturday, May 07, 2005 from 9:00-11:00am

□       Sunday, May 08, 2005 from 3:00-5:00pm

 

Location:  University of Wisconsin – Stout Recreation Center, at the corner of Broadway and 13^th Avenue in Menomonie, WI.

Price:    $15.00 members, $20.00 non-members

 

First Name: ______________________________________________________________

Last Name: ______________________________________________________________

Street Address: ___________________________________________________________

City: ____________________________________    State: ____       Zip Code: _________

Telephone Number: (_____) ________________________

Email Address: ___________________________________________________________

Status: [_] Member       [_] Non-member

Payment Amount: $_______________

 

NOTE: Please make checks payable to “Pure Water Paddlers”.  Mail Registration form and payment to Theresa Raven, PO Box 1866, Eau Claire, WI  54702-1866.

 

REGISTRATION AND PAYMENTS MUST BE RECEIVED BY THERESA FOUR (4) DAYS BEFORE THE EVENT.  CLASSES WILL BE CANCELLED, IF THE MINIMUM OF FOUR (4) PARTICIPANTS IS NOT ACHIEVED.

 

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