GS Kayak PSF (AM 28Apr2019)

Please complete the below form to register for the PSF course. Mandatory fields are marked with an asterisk (*).

ACA Member Number

Last Name

First Name

Address

City

State

Zip (5 digit)

Phone

(###)

###

####

Email Address

Birthdate

MM

DD

YYYY

Height

CKAPCO uses this information to select appropriate equipment for students.

Weight

CKAPCO uses this information to select appropriate equipment for students.