Paddler Co-Op Registration Form

To register for a course or request further information is simple. Please fill out this form and submit it to us. A 50% deposit is required to confirm a spot in one of our programs.

Either call us with your credit card details or mail a cheque prior to your course. The balance is payable on the day your course begins.

Contact us for details at 613-758-2772. Once we receive this form, we will contact you within 2 days with more information.

Full Name:

Street Address

Suite #:

PO Box:

City:

Province/State:

Postal/Zip Code:

Country:

Phone (Day):

Phone (Evening):

Email:

I will need to become a member of Paddler Co-op.

Courses you are interested in:

Number of people in your group:

Course Start Date:

Course End Date:

How did you find out about us?

Your Height:

(this helps us to ensure you have a comfortable boat)

Your Weight:

(this helps us to ensure you have a comfortable boat)

Boat Preference (if any):

Your Paddling Experience:

Your Course Objectives:

Areas of interest:

Other Areas of Interest Text:

Additional Comments/instructions (if any):

Please note: A medical decleration and waiver form must be completed upon arrival to Paddler Co-Op. This can be completed in advance by downloading a printable version here or can be completed upon arrival.

Your registration is being submitted please stand by....

Thank you very much!

Our staff will contact you shortly to confirm your course registration and arrange payment.