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Please complete to indicate participation and mail to Paddle Shack with Waiver and Emergency Information.
Children under 18 must be accompanied by parent or guardian and complete Minor's Waiver and Minor's Emergency Info.

Deposit of 50% is required to reserve pool time. Balance due prior to pool participation.

Refunds will be made with sufficient notice (at least 48hrs).

Cancellation refunds will be subject to a $5 processing fee.

Please reserve pool time as indicated for:

(Please print) ________________________________________________________________________________ age___________

telephone #___________________________________________ email________________________________________________

Dates Requested	Open Pool No Instructor	or	Open Pool With Instructor	Equipment Rental Kayak, Paddle, PFD, etc	Instruction Requested (Rolling, Rescue, Etc)
January 8th	______	or	______	______	__________________
January 15th	______	or	______	______	__________________
February 5th	______	or	______	______	__________________
February 19th	______	or	______	______	__________________
March 4th	______	or	______	______	__________________
March 18th	______	or	______	______	__________________
Total Sessions	______		______	______
multiply by	x		x	x	Register Before Dec 21st;
Cost per Session	$35 ($30)		$65 ($60)	$25	Save $5 per session
Session Totals	$______	plus	$______	plus $______	equals Total $__________________
Deposit Enclosed	$______		50% deposit....make checks payable to Paddle Shack

Thanks, See you at the pool!


Calendar	Specials	5045 Mays Landing Road, Mays Landing NJ 08330				News	Stories/Trips
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