Canoe Education Weekend March 19-20, 2016, Forth River(North)

Canoe Tasmania will conduct the following courses at the Canoe Education Weekend at Forth, subject to water availability.

Please select the course that you wish to attend (Registrations Close Friday March 11):

Basic Skills and Safety Cost: $25 ($20 for affiliated canoe club members)

Saturday March 19, 9.30am – 11.30am Turners Beach boat ramp

Essential skills for safe paddling, suitable for beginner to intermediate paddlers, any type of kayak, to be held on the Forth estuary. Participants must have their own kayak and PFD (life jacket).

Sea Kayaking Skills Cost: $45 ($35 for affiliated canoe club members)

Saturday March 19, 12.30pm – 4:00pm Turners Beach boat ramp

Intermediate skills for sea kayak paddlers – surf launching and landings, paddling skills, rescues.

Participants must have their own sea kayak.

Whitewater Skills - Saturday Cost: $95 ($80 for affiliated canoe club members)

Saturday March 19, 9:30am – 4pm Forth Canoe Course

Whitewater Skills – one day course developing whitewater paddling skills on Grade 2-3 water.

Small group instruction from some of Tasmania’s best whitewater paddlers and qualified AC instructors.

Whitewater Skills - Sunday Cost: $95 ($80 for affiliated canoe club members)

Sunday, March 20, 9:30am – 4pm Forth Canoe Course

Whitewater Skills – one day course developing whitewater paddling skills on Grade 2-3 water.

Small group instruction from some of Tasmania’s best whitewater paddlers and qualified AC instructors.

Flatwater Guide/Lifeguard/Instructor Course Cost: $265 (plus $155 AC registration fee if seeking assessment for Guide/Instructor and successful)

Saturday - Sunday, March 19-20, 9am – 4 pm Australian Canoeing accredited course for teaching skills and leading trips on flat water. Assessment options for: Flatwater Lifeguard, FW Guide or Instructor available.

Whitewater Guide/Instructor Training Course Cost: $265

Saturday – Sunday, March 19-20 , 9am – 4 pm Forth Canoe Course

Australian Canoeing training course for teaching skills and leading trips on moving water up to, and including, Grade 2 for experienced paddlers. This training course is a strongly recommended pre-requisite for anyone wanting to go for the Australian Canoeing Whitewater Instructor Assessment at a future date (1.5 days assessment, separate). This is not an introduction to Whitewater Skills course (see above 1 day courses for Skills development), but for experienced paddlers looking at demonstrating correct stroke technique in an instructing situation on moving water, breaking down and teaching stroke technique, whitewater rescue techniques and the requirements for Whitewater Guide/Instructor Assessment.

Whitewater Guide/Instructor Assessment Cost: $110 (plus $155 AC registration fee)

March 19-20, Starting 9am Saturday (1.5 days, finishing lunchtime Sunday). Forth Canoe Course

Assessment for the Australian Canoeing Award of either Guide or Instructor for guiding/teaching skills and leading trips on moving water up to, and including, Grade 2.

Students Whitewater Skills Course (TBC) Cost: $25

Saturday - Sunday, March 19-20, Forth Canoe Course Times by arrangement

Two hour, whitewater skills sessions for students run by trainee whitewater instructors working under the supervision of AC qualified whitewater instructors and assessors. Note this only runs if there are enough participants going for an assessed qualification for WWG or WWI – contact Development Officer to confirm details.

Camping at Forth Canoe Course Cost: $10/night

Enrolment Form

Name:
Address:
Email:
Phone:
Emergency
Contact: Name Phone:
Age if under 18:
Paddling/Instructing Experience(outline any previous kayaking/canoeing activities and experience you have):

Payment Options (to be made prior to the course):

Return Registration Form to: / Direct Deposit / Cancelation Fees apply see below:
Email: / Include your name as reference.
Canoe Tasmania Inc.
MyState Financial
BSB: 807009
Acc No: 12245398 / cancellation 21 days or more prior to course full refund
20-14 days prior to course 10% of course fee
13-2 days prior to course 15% of course fee
less than 48 hours no refund.

Total amount paid $ ______Include transaction number: ______

Are you an affilated club member Yes / No

Medical Questionnaire & Consent

Do you suffer from any medical condition, illness, injury or disability that may interfere with or be aggravated by the proposed activity? If yes, details: / YES / NO
Is the abovementioned condition likely to require any special attention, treatment or medication during the activity? If yes, details: / YES / NO
Have you ever had a serious allergic reaction to an insect, animal or plant? If yes, details (including reaction & treatment): / YES / NO
Can you swim the length of an Olympic Swimming pool? / YES / NO

Indemnity Agreement & Waiver of Liability Teaching, Training & Assessment Events

Participants Name: ______Age if under 18:
I/we hereby acknowledge and understand that I/my son/my daughter/my dependent will be participating in a Canoe Tasmania Canoe Education event, and that I fully understand the nature of the activity to be undertaken after having read and understood any printed material supplied to me and after making enquiries to my satisfaction.
In consideration of the Canoe Tasmania Inc. providing this activity for me / my daughter / my son / my dependent I hereby acknowledge that Canoe Tasmania Inc. and Australian Canoeing Inc., their Instructors, employees, officers, servants and agents shall not be liable for any injury, damage, loss, claim or demand whatsoever which may arise during, or in association with, participation in or travelling to or from the activity unless the same is caused by negligence or a criminal act on the part of the said Canoe Tasmania Inc. or Australian Canoeing Inc., their Instructors, employees, officers, servants and agents and I / we hereby agree to indemnify and keep indemnified the said Canoe Tasmania Inc, Australian Canoeing Inc., their Instructors, employees, officers, servants and agents against all actions, suits, damage claims and demands arising out of any accident, loss or illness which may befall me / my son / my daughter / my dependent during or as a result of my / his / her participation In any activity or function connected with the event or whilst travelling to or from the said event unless the same is caused by negligence or a criminal act on the part of the said Canoe Tasmania Inc. or Australian Canoeing Inc., their Instructors, employees, officers, servants and agents.
Signed By:
(To be signed by Parent or Guardian if participant under 18 years of age)
Name (printed)______Date: / / 2016
Consent For Emergency Transport &/Or Medical Attention
I, (full name) ______
of: (address)______
hereby give consent to being transported by Ambulance or other appropriate transport to the nearest medical centre or hospital for emergency or life preserving treatment by an appropriately qualified medical person.
Signed: ______Date: / /2016
(parent/guardian if under 18)
Name: