Personal Information

Required responses in bold

First Name

Last Name

Email

Date of Birth
Month ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Date ---12345678910111213141516171819202122232425262728293031 Year ---20092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900

Street Address

City

Zip Code

Primary Phone
 Cellular Home
() -

Best way to contact you:
---E-mailPhoneTextFacebook

Do you have any medical conditions/allergies that we should be aware of?
---NoYes
If yes, please elaborate. This information will be kept confidential.

Emergency Contact Information

First Name

Last Name

Phone
() -

Relation to you

Membership Information

Membership type:
---AdultCollegeHigh School

Preferred Paddling Side:
---LeftRightEither

Which races are you interested in paddling for?
 Redwood City (May 22) Vancouver (June 19-20) Fremont (July 11) Long Beach (July 31 - August 1) San Francisco / Treasure Island (September 26-27)

Approximate Weight in lb: (Used strictly for balancing the boats)

Are you paddling the full season?*
---YesNo
If not, please provide a timeframe

Are there any training (land and water) methods that you would like the coaches to consider?
---YesNo
If yes, please elaborate

How often can you come to practice?
(Be as specific as possible ex. twice a week, usually Saturdays and Wednesdays)

Which weekday practice schedule works best for you: Mondays & Wednesdays? or Tuesdays & Thursdays?
---Monday & WednesdayTuesday & ThursdayEitherNeither

We plan to practice at BIAC (Redwood City) more frequently this year to hone our salt water paddling, due to tides we can either schedule these practices for Saturday at noon or Sundays at noon. Which option works best for you? 
---Saturday at noonSunday at noonEitherNeither

Any suggestions for names for our two possibly three crews?

What type of activity is dragon boating for you?
---CompetitiveRecreational

If there are open spots on the our A-boat, would you accept an invitation?
---YesNo

On a scale of 1-5 (1 being not competitive and 5 being very competitive), what is YOUR preferred level for the team this season?
---1 - Not Competitive2345 - Very Competitive

What did you think of the competitive level last year?
---Was not here last year1 - Not Competitive2345 - Very Competitive

What are your individual goals for this season?

Do you have any expectations for the team this season?

Any complaints about last season? Be honest!

Best things about last season:

What changes would you like to see this year?

Are you interested in being more involved with the team? (Leadership/behind the scenes, drummer, steer, etc.)

Do you have any useful skills/contacts that you can offer the team?
(Website, discounts, physical therapy, potential sponsors, a rich uncle, etc.)

Do you have any friends or family who may want to join Ripple this season?
(If yes, how many?)

What other activities are you interested in?

Are you certified in CPR or First Aid?
---CPRFirst AidBothNot certified
If not, would you like to be?
---Yes - interested in certificationNo - not interested in certification

How often would you like to hang out with the team, socially, outside of practice & races?
---WeeklyMonthlySeldomNever

How often would you like to recieve notifications (emails) from the team?
---Several times a weekWeeklyEvery few weeksMonthly

What's your hidden talent or special claim to fame?

Please make a personal pledge for the season.
(Ex. I pledge to make it to every practice; I pledge to increase my reach and rotation, etc.)

Lastly, please enter the text you see below to prove that you're not a robot!

Thanks for filling out the survey!