Please check off one answer per skill and at the end, let us know if you're available during the week right now. Answering this survey does not commit you to anything. It just helps us know who we can ask if we need help on specific programs. Thank you for your time and commitment!

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* 1. Can you belay a rock climber on a rock wall?

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* 2. Can you "Captain" a tandem bicycle with a tandem rider?

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* 3. Can you paddle a tandem kayak?

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* 4. Can you speak Spanish?

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* 5. Are you available for programs on a weekday during the day?

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* 6. What is your name?

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* 7. What is your email address?

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