Emergency Contact

SURNAME: ___________________________

FIRST NAME: ___________________________

ADDRESS: ___________________________

CITY: ___________________________

PROVINCE/STATE: ___________________________

COUNTRY: ___________________________

PHONE #: ___________________________

FAX #: ___________________________

E-MAIL: ___________________________

Equipment List

i.e. tents, canoes, rafts, spray skirt cover, jackets..

Type: ___________________________
Quantity: ___________________________
Colour: ___________________________
Make: ___________________________
Model: ___________________________
Serial #: ___________________________

Type: ___________________________
Quantity: ___________________________
Colour: ___________________________
Make: ___________________________
Model: ___________________________
Serial #: ___________________________

Type: ___________________________
Quantity: ___________________________
Colour: ___________________________
Make: ___________________________
Model: ___________________________
Serial #: ___________________________

Type: ___________________________
Quantity: ___________________________
Colour: ___________________________
Make: ___________________________
Model: ___________________________
Serial #: ___________________________

Type: ___________________________
Quantity: ___________________________
Colour: ___________________________
Make: ___________________________
Model: ___________________________
Serial #: ___________________________

Type: ___________________________
Quantity: ___________________________
Colour: ___________________________
Make: ___________________________
Model: ___________________________
Serial #: ___________________________

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