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LAKE SUPERIOR STARTER COURSE
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LAKE SUPERIOR STARTER COURSE June 15-16 2019
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Sturgeon Bay
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LAKE SUPERIOR STARTER COURSE
LAKE SUPERIOR STARTER COURSE June 15-16 2019
$
280.00
This form must be filled out for all persons attending and signed by a legal guardian for those under 18. The information given is confidential and is only available to staff who need to know for reasons of safety etc. They are kept for 3 months after each course and then destroyed.
Name
*
First
Last
Course Date
*
Phone Number
Email
*
Emergency Contact's Name
Emergency Contact's phone Number
*
Contact address
Please list any medical conditions or physical limitations, if any.
Please indicate if the course member will be taking any medication during the course, and who is responsible for it.
Dietary Information
If under 18 please request concert form
*
Request form
I'm over 18
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LAKE SUPERIOR STARTER COURSE
LAKE SUPERIOR STARTER COURSE Sept 22-23
$
280.00
This form must be filled out for all persons attending and signed by a legal guardian for those under 18. The information given is confidential and is only available to staff who need to know for reasons of safety etc. They are kept for 3 months after each course and then destroyed.
Name
*
First
Last
Course Date
*
Phone Number
Email
*
Emergency Contact's Name
Emergency Contact's phone Number
*
Contact address
Please list any medical conditions or physical limitations, if any.
Please indicate if the course member will be taking any medication during the course, and who is responsible for it.
Dietary Information
If under 18 please request concert form
*
Request form
I'm over 18
Comment
Submit
Add to cart
Add to Wishlist
Product added!
Browse Wishlist
The product is already in the wishlist!
Browse Wishlist
Quick View
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