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* 1. Name of person Inquiring

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* 2. Where Are you from? (Town/Province)

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* 3. Phone #

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* 4. Group Size

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* 5. Ages of People in Group (Separate with Commas)

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* 6. Proposed date of trip

Date
Date

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* 7. Whats the Groups Experience with Canoeing?: (Summer Camps, Previous trips, Some laps around a lake, mostly still or moving water? If you have no experience thats fine too!)

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* 8. What trip where you interested in?

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* 9. Would you need to be supplied any of the following?

T