Canoe Journey Guidebook - Squaxin Island Tribe
Canoe Journey Guidebook - Squaxin Island Tribe
Canoe Journey Guidebook - Squaxin Island Tribe
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CANOE FAMILY PARTICIPATION FORM<br />
Debbie Meisner, <strong>Canoe</strong> <strong>Journey</strong> Coordinator<br />
10 SE <strong>Squaxin</strong> Lane, Shelton, WA 98584<br />
(360) 432-3849 • dmeisner@squaxin.us • www.Paddleto<strong>Squaxin</strong>2012.org<br />
<strong>Tribe</strong>/Band Name:<br />
Contact Person:<br />
<strong>Tribe</strong>/Band Office #:<br />
<strong>Tribe</strong>/Band Office Phone:<br />
Where is your <strong>Canoe</strong> Family starting?<br />
Are you starting from your home <strong>Tribe</strong>/Nation? Or are you joining another family? If so where are you starting from?<br />
# <strong>Canoe</strong> Names Skipper Names Cedar / Strip / Fiberglass<br />
Family Information<br />
Who # Information Comment if needed Yes / No<br />
Adults<br />
Youth<br />
Children<br />
Elders<br />
Handicap<br />
Puller, road crew, escort boat<br />
* Do you have consent forms?<br />
Do you have travel insurance?<br />
Do you have travel insurance?<br />
Vehicle<br />
# Model / Make of Vehicle Driver cell #<br />
Trailers<br />
# For <strong>Canoe</strong>? Or Boat? Length Contact #<br />
Support/Escort Boat(s)<br />
# Names Captain’s Name Radio frequency # or cell #<br />
Additional Information<br />
41 • paddle to squaxin 2012
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