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September 28th Paddle Clinic
Set up at 8:00am
Blessing at 9:00am
Paddling 10:00am to 12:00pm
Lunch 12:00pm
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Participant's Full Name
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Your answer
Age
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Your answer
Email
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Your answer
Phone Number
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Your answer
Diagnosis
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Amputee
Autism
Cerebral Palsy
Down Syndrome
Hearing Impaired
Multiple Sclerosis
PTSD
Traumatic Brain Injury
Visually Impaired
Other:
Comfort Level Paddling
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Not Very Comfortable
1
2
3
4
5
Very Comfortable
Previous experience in the water or paddling?
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Your answer
Have you paddled independently before this clinic?
*
Yes
No
Maybe
What is the main type of paddling are you interested in?
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6 man Outrigger Canoe
1 man Outrigger Canoe
Prone paddling
Not sure
Required
What is your sitting balance level?
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Choose
I have excellent sitting balance
I can sit up with the support of my arms
I can sit up with the support of someone else
I can not sit up
I don't know
What is your ability to grip a paddle?
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Choose
I am unable to grip a paddle
I can not grip a paddle without equipment such as tape or quad gloves
I can not grip a paddle without an adapted/specially made paddle
I can grip a paddle with no assistance or adaptation
I don't know
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