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Guide Training 2009 Signup

Name:
Address:
City:
State:
Zip:
Email:
Phone 1:
Phone 2:
Phone 3:
Emergency Contact:
Emergency Contact Phone:
DOB:
SSN:
Driver's Licence # (include state):
Do you have reliable transportation?
Do you have good swimming ability?
Do you have any medical conditions? Describe.
What experience do you have related to whitewater rafting?
What other outdoor recreation activities have you participated in?
Have you been a group leader / instructor before?


Do you have current certification in...
CPR		Expiration Date:
First Aid (standard):		Expiration Date:
First Aid (advanced):		Expiration Date:

Any other medical or rescue training? List / describe.


I want to apply to work as a guide.
If you're not interested in applying for employment, please complete our Standard Guide Training Signup form instead.

Payment Information Course fee is $525. A deposit of $300 is required at the time of signup to hold your space in the class. The remaining $225 is due by March 1st. Your space will not be reserved until we receive your deposit. All fees are non-refundable.

Payment Amount
I'm paying the $300 deposit now and will pay the remainder by March 1st.
I'm paying the entire amount of $525 now.

Payment Method:
I'll mail a check to you at 9674 50th Ave. SW, Seattle, WA 98136.
I'll call you with a credit card number. 800-228-RAFT (7238)
Please call me to get a credit card number.

Questions / Comments