Paddle Instruction Interest Survey

Question Title

* 1. I enjoy paddling which paddle craft:

Coastal/Sea Kayak

Whitewater Kayak

Whitewater Canoe

Recreational Canoe/Kayak

Racing Canoe/Kayak

SUP Board

Other (please specify)

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* 2. I currently am certified as an American Canoe Association (ACA) or equivalent Instructor or Instructor Trainer in:

Coastal (Sea) Kayak

For which organization and at what level?

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* 3. I currently am certified as an American Canoe Association (ACA) or equivalent Instructor or Instructor Trainer in:

River Kayak

For which organization and at what level?

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* 4. I currently am certified as an American Canoe Association (ACA) or equivalent Instructor or Instructor Trainer in:

Canoe

For which organization and at what level?

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* 5. I currently am certified as an American Canoe Association (ACA) or equivalent Instructor or Instructor Trainer in:

Other

For which discipline and organization and at what level?

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* 6. I am interested in learning more about becoming an ACA Instructor in:

Coastal/Sea Kayak

River Kayak

Canoe

Safety & Rescue

SUP Board

Other (please specify)

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* 7. Currently, I paddle what brand(s) and model(s) of boats:

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* 8. Are you looking for help with finding instruction or equipment?

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* 9. Comments or Questions?

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* 10. May I contact you? If so, please provide optional contact information:

Name *

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address *

Phone Number