Clinic Instructor/Assistant/SB Survey

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Clinic Instructor/Assistant/SB Survey

Submit a survey for each instructor, assistant and safety boater.

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* 表示必填問題

Name: *

您的回答

Phone: *

您的回答

Email: *

您的回答

Safety gear that you have in your boat:

Throw Bag

Pin Kit

First Aid Kit

Breakdown Paddle

Other gear (list):

您的回答

Relevant first aid training you have:

Current CPR

Expired CPR

Current First Aid

Expired First Aid

Safety training and dates include SWR and ACA training:

您的回答

List prior TRPC clinics where you have instructed(I), assisted(A) or safety boated(SB):

您的回答

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