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REGISRTRATION

Please use this form to register for our courses. We look forward to hearing from you soon!

 Personal Information

 Name:

 Mailing Address:       

 Province:                       Postal Code:    

 Home Phone:            Work Phone:  Email:

 Date of Birth:          

 Do you require a Canoe/equipment? Yes No

 Courses

 Course applying for:   



 Call: (709) 728-6120
 Email: escape.watersports@gmail.com
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