Sound Kayakers, an ACA Paddle America Club
Application Form
Date: ____________ Name __________________________________
Address __________________________________________________
City, State, Zip ___________________________________________
Preferred phone contact # __________________________________
E-mail Address ____________________________________________
Kayak make/model _________________________________________
Instruction - course name, date, instructor _________________________________________
Annual Dues $15 - Make check payable to Kayak Adventure LLC and
send to:
24 Poplar St., Norwalk, CT 06855. Questions: call, e-mail or text Michele
Sorensen at 203-247-1390 iPhone
Go to: ACA
Adult Waiver
Print, fill out, sign, and send with this application and your check.
Interest Survey – Circle your preferences, please.
Group Trips
Level: beginner - intermediate - advanced
Pace: for exercise (fast pace) or to explore (slow-moderate
pace)
Preferred day: Saturday or Sunday or Weekday
Preferred time: morning or afternoon
Training
___ Skill development - strokes
___ Skill development - rescues & rolling
___ Trip Leader Training
___ Navigation & Trip Planning
___ Pool Sessions
Other Kayak Topics of interest:
____________________________________________