Sierra Club
Woods & Wetlands Group
Canoe the Nippersink
Glacial Park
June 11, 2006
Sign-Up
Here's an easy way to sign up. Just fill in your information and then click send. If your friend wants to come with you, I need to know about him/her separately, and s/he must also open this questionnaire and fill it out to reserve a spot.
Can you swim?
No
Yes
I stay in shape by ?
I have canoed ...
Neither lakes or rivers
Lakes
Rivers
Lakes & Rivers
My paddling skills include ...
Ping Pong
Bow paddling
Stern steering strokes
Bow steering strokes
Bow and Stern steering strokes
Do you own a canoe or kayak you want to bring? If so, how long and what type?
No
Canoe
Kayak
Do you own a vehicle that can carry a canoe or tow a trailer? If so, please describe it.
No
Roof Rack
Tow
Would you like to carpool? If you are driving, how many people could car pool with you?
No
Yes
Please share any special physical conditions that might affect your ability to complete this outing:
Type any questions or concerns you have here:
Name:
E-mail (a copy of your responses will be e-mailed to you):
Address:
City:
Zip Code :
Phone (delete the word "Home" and "Cell" and enter your numbers:
Please add me to the Woods & Wetlands Outings e-mailing list:
Yes
No
Please include my e-mail address or phone # on the roster web page for carpooling:
Yes
No
