Potomac Swim - Kayaker Survey

Potomac Swim Kayaker Survey

Question Title

* 1. Your name:

Question Title

* 2. Your email address:

Question Title

* 3. Your cellphone

Question Title

* 4. What conditions are you comfortable in?

flat

1-2 foot waves

3 foot waves

Question Title

* 5. Do you have a VHF radio?

Yes

No

Question Title

* 6. Have you ever supported a swim and how many times?

Never

Once

Twice or more

Question Title

* 7. Are you comfortable doing kayak rescues?

Yes

No

Question Title

* 8. Type of boat and color:

Question Title

* 9. Are you available for a rain date on June 2?

Yes

No

Question Title

* 10. Emergency contact

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number