Suwannee River Wilderness Trail
Inspiring. Meaningful. Adventure.
Suwannee River Wilderness Trail October 20-25, 2017 Paddler #1: _____________________________________________________________________________________________________________ Name
Address
City
State
Zip Code
_____________________________________________________________________________________________________________ Email Home Phone Cell Phone on Trip Age T-Shirt Size _____________________________________________________________________________________________________________ Emergency Contact Name Emergency Contact Phone Does paddler #1 have medical training? MD
RN
EMT
PA
1st Aid
Other: _____________________________
Paddler #2: _____________________________________________________________________________________________________________ Name
Address
City
State
Zip Code
_____________________________________________________________________________________________________________ Email Home Phone Cell Phone on Trip Age T-Shirt Size _____________________________________________________________________________________________________________ Emergency Contact Name Emergency Contact Phone Does paddler #1 have medical training? MD
RN
EMT
PA
1st Aid
Other: _____________________________
How did you hear about Paddle Florida? Web search Newsletter Facebook Paddling.net
Paddle Club
Friend
Other: ________________________________________________________________
SHUTTLE: Do you prefer: Pre-trip shuttle (your vehicle is at trip’s end) Post-trip shuttle (your vehicle is at trip’s launch) TRIP FEES: The full trip fee includes camping, meals, and shuttle. Trip Fee $550 $525 $525 $500 Free
Paddler Category Adults Senior (65+) College Students Youth (8-17) Children (7 & under)
# of Paddlers
TOTAL:
Combined Fees $ $ $ $ $ $
Paddle Florida Lite $110/day. Can’t get away for the whole trip? Choose the Paddle Florida Lite option and pay a daily rate over four or fewer days. The daily fee includes a meal plan, but no shuttle. If you are not paddling the whole trip, you may need to arrange for your own shuttle transportation. Contact Bill Richards at [email protected] for more information. Paddler #1 is choosing the Paddle Florida Lite option. Number of days: ______ x $110/day = $________ Paddler #2 is choosing the Paddle Florida Lite option. Number of days: ______ x $110/day = $________
TOTAL: $________ Please send your completed registration form and a check made payable to Paddle Florida for total fees th owed before the October 6 registration deadline to: Paddle Florida, PO Box 5953, Gainesville, FL 32627.
Suwannee River Wilderness Trail October 20-25, 2017 Paddler #1: _____________________________________________________________________________________________________________ Name
Address
City
State
Zip Code
_____________________________________________________________________________________________________________ Email Home Phone Cell Phone on Trip Age T-Shirt Size _____________________________________________________________________________________________________________ Emergency Contact Name Emergency Contact Phone Does paddler #1 have medical training? MD
RN
EMT
PA
1st Aid
Other: _____________________________
Paddler #2: _____________________________________________________________________________________________________________ Name
Address
City
State
Zip Code
_____________________________________________________________________________________________________________ Email Home Phone Cell Phone on Trip Age T-Shirt Size _____________________________________________________________________________________________________________ Emergency Contact Name Emergency Contact Phone Does paddler #1 have medical training? MD
RN
EMT
PA
1st Aid
Other: _____________________________
How did you hear about Paddle Florida? Web search Newsletter Facebook Paddling.net
Paddle Club
Friend
Other: ________________________________________________________________
SHUTTLE: Do you prefer: Pre-trip shuttle (your vehicle is at trip’s end) Post-trip shuttle (your vehicle is at trip’s launch) TRIP FEES: The full trip fee includes camping, meals, and shuttle. Trip Fee $550 $525 $525 $500 Free
Paddler Category Adults Senior (65+) College Students Youth (8-17) Children (7 & under)
# of Paddlers
TOTAL:
Combined Fees $ $ $ $ $ $
Paddle Florida Lite $110/day. Can’t get away for the whole trip? Choose the Paddle Florida Lite option and pay a daily rate over four or fewer days. The daily fee includes a meal plan, but no shuttle. If you are not paddling the whole trip, you may need to arrange for your own shuttle transportation. Contact Bill Richards at [email protected] for more information. Paddler #1 is choosing the Paddle Florida Lite option. Number of days: ______ x $110/day = $________ Paddler #2 is choosing the Paddle Florida Lite option. Number of days: ______ x $110/day = $________
TOTAL: $________ Please send your completed registration form and a check made payable to Paddle Florida for total fees th owed before the October 6 registration deadline to: Paddle Florida, PO Box 5953, Gainesville, FL 32627.
