American Slalom Excellence Program

Registration Form: please check training camp/s you are signing up for:

□ Week #1 ________ US Cup Races & Training Camp

Wisconsin R., Wausau, WI

□ Week #2 _________ Junior Olympics/US Cup Race & Training Camp

East Race Waterway, South Bend, IN

 

 

Name: _____________________________________________________

 

Street / Mailing Address:________________________________________

 

Town, State, Zip: _____________________________________________

 

Date of Birth: ___________________ Age: ______________ M/F: ______

 

Home Phone: _______________________________

 

Work phone: _______________________________

 

Mobile Phone: ______________________________

 

Email: _____________________________________

 

Circle your Whitewater Slalom boat/s that you will paddle and race:

C1, K1, and/or C2 including your C2 Partner's Name: __________________________

 

How did you hear about the American Slalom Excellence Program?

 

What class of whitewater are you most comfortable paddling?

 

Do you have a solid whitewater river roll?

 

How often do you train for whitewater slalom?

  

Do you keep a training log or journal?

  

What are your whitewater slalom racing goals?

  

Other information the coaches should know about you:

 

 

Please return the 5 forms & coaching fees payable to "David Hearn".

6211 Ridge Drive, Bethesda, Maryland 20816-2641 USA

 

Please mail the 5 completed forms & include a $100 non-refundable deposit to reserve 

limited space in the American Slalom Excellence Program by _____, 2006.

Final payment is due ______.  Thank you!

 

updated 08/11/05