Paddler Information Form

First name

Last name

DOB

Day

Month

Year

Phone

Address: No. & Street

Town

County

Postcode

Next of Kin

This must be someone land based who's not on your session.

Next of Kin Contact no

PaddleUK membership no.

Date started paddling?

To nearest year

How often do you paddle?

Which, if any, craft/board have you?

Do you suffer any health or other needs?

Have you any paddle qualifications or are working towards?

E.g Paddle UK, ISA, Bsupa

Paddling Weaknesses?

Area you can improve on lots

Paddling Strengths?

Can be any aspect

What are your short term paddling aims?

Over next year.

What are your long term paddling aims?

Over next 3 - 5 yrs.

Which session are you on & what do you want from it?

Do you have a sought outcome?

Add a note...

Add anything you want noted

Skill level

Novice (<100 hr)

Intermediate (100 - 200 hr)

Experienced (>200 hr)

'Hours' relates to actual time on the water.

Can you swim 50m?.

Can you self rescue following capsize?.

Paddler Information Form ​ ​